License holder summary

Teiichi Takedai is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Teiichi Takedai is Community Health Center of Jackson County, 113 North Chestnut Street, Seymour IN 47274. This licensed professional license is not current. The license was granted 02/09/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Teiichi Takedai
Controlled Substance Registration - Physician
License number
01060015B
Date granted
02/09/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Community Health Center of Jackson County, 113 North Chestnut Street, Seymour IN 47274
indianalicensing.org
ID 5918980
LAST UPDATED 2026-05-09 02:14:13 UTC

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