Iowa
Professional Licensing Bureau
Gene Takeshi Omoto
Physician Assistants - Physician Assistant
License number
002070
Date granted
01/13/2010
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
818 N BEADLE ST PAPILLION NE 68046
iowalicenses.org
ID 24188559
LAST UPDATED 2026-04-02 19:30:33 UTC
LAST UPDATED 2026-04-02 19:30:33 UTC
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