License holder summary

TAKESAKA, JENNIFER MIYE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for TAKESAKA, JENNIFER MIYE, MD is 550 PEACHTREE STREET NE, Atlanta 30322. This doctor license is not current. The license was granted 06/30/2011 and expired on 01/31/2015.

Georgia

Composite Medical Board

TAKESAKA, JENNIFER MIYE, MD
Medical - Physician
License number
066428
Date granted
06/30/2011
Date expires
01/31/2015
Class
Medical - Physician
Status
Lapsed
Address
550 PEACHTREE STREET NE
georgiadoctors.net
ID 38086088
LAST UPDATED 2026-05-15 13:09:09 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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