LANE LEIKO FUJITANI Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007256

License Status

INACTIVE

Business

First Name

LANE LEIKO

Last Name

FUJITANI

Business Name

LANE LEIKO FUJITANI

Original Issue Date

10/26/1979

Effective Date

04/01/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006