GRANT Y FUSATO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009013

License Status

INACTIVE

Business

First Name

GRANT

Middle

Last Name

FUSATO

Suffix

Business Name

GRANT Y FUSATO OD

Original Issue Date

08/19/1997

Effective Date

08/04/1999

Expiration Date

03/31/2000

City

HONOLULU

State

Zip

96815

County

HAWAII

Ever Disciplined

LastModifiedDate

09/11/2005