Douglass Takashi Domoto Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036057380

Status

Inactive

First issued

August 21, 1978

Expired

July 31, 2005

License holder

Douglass Takashi Domoto Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

08/21/1978

Other Illinois licenses under this name

• IL
  Douglass Takashi Domoto Md

  License 33*****42

  Licensed Physician Controlled Substance (Medical Board)
  Inactive

  East Saint Louis, IL

  Expired Jul 31, 2005

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