License holder summary

SHANNON ALEXANDRIA TAKARA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for SHANNON ALEXANDRIA TAKARA is rapid city SD 57701. This medical practitioner license is not current. The license was granted 10/07/2005 and expired on 12/31/2012.

Department of State

Board of Medicine

SHANNON ALEXANDRIA TAKARA
Medical Physician And Surgeon
License number
MD427753
Date granted
10/07/2005
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Expired
Address
rapid city SD 57701
medicinepa.com
ID 37683464
LAST UPDATED 2026-04-02 17:40:00 UTC

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