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Oklahoma Board of Medical Licensure and Supervision

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TAKANO, TAKEO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 24761 GEORGIA SUE DR
LAGUNA HILLS CA 92653

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9971
Dated: 6/18/1973
Expires: 6/30/1986
License Type: Medical Doctor
Specialty: Psychiatry
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: JAPAN MEDICAL SCHOOLS
Graduated: / 1941
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
24761 GEORGIA SUE DR
LAGUNA HILLS CA 92653

Phone #:
Fax #:

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