License holder summary

TAKESHI KITAGAKI is a Medical Residency Permit licensed to practice in Indiana. The address on file for TAKESHI KITAGAKI is Terre Haute IN 47802. This licensed professional license is not current. The license was granted 04/25/2001 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

TAKESHI KITAGAKI
Medical Residency Permit
License number
11010369A
Date granted
04/25/2001
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
Terre Haute IN 47802
indianalicensing.org
ID 5997767
LAST UPDATED 2024-04-06 08:37:33 UTC

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