License holder summary

TAKESAKA, JENNIFER MIYE is a Medical - Resident Physician licensed to practice in Georgia. The address on file for TAKESAKA, JENNIFER MIYE is 140 CRUMLEY STREET SE, Atlanta 30312. This doctor license is not current. The license was granted 07/11/2008 and expired on 06/30/2012.

Georgia

Composite Medical Board

TAKESAKA, JENNIFER MIYE
Medical - Resident Physician
License number
003345
Date granted
07/11/2008
Date expires
06/30/2012
Class
Medical - Resident Physician
Status
Lapsed
Address
140 CRUMLEY STREET SE
georgiadoctors.net
ID 38120991
LAST UPDATED 2026-06-01 09:44:54 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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