MICHAEL LUCIANO TAKAGI
Idaho PAI-790 Upgraded
This Idaho license was held by MICHAEL LUCIANO TAKAGI. The license is no longer active. It was granted on 02/04/2009
LICENSE DETAILS
- License Number: PAI-790
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 02/04/2009 (about 15 years ago)
LOCATIONS
A Residential
P O BOX 562 CONDON OR 97823