MICHAEL LUCIANO TAKAGI
Idaho PA-791 Canceled
This Idaho license was held by MICHAEL LUCIANO TAKAGI. The license is no longer active. It was granted on 02/12/2009 and expired on 08/01/2014
LICENSE DETAILS
- License Number: PA-791
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/12/2009 (about 16 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
P O BOX 562 CONDON OR 97823