The holder whose full name is Takagi, Takehiko,come from Indianapolis IN,hold the Medical Fellowship Permit license(NO.73000034A) which status is Expired.
| Name | Takagi, Takehiko |
|---|---|
| License Number | 73000034A |
| License Type | Medical Fellowship Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |