LANE LEIKO FUJITANI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027256

License Status

NOT RENEWED

Business

First Name

LANE LEIKO

Last Name

FUJITANI

Business Name

LANE LEIKO FUJITANI

Original Issue Date

08/26/1994

Expiration Date

03/31/1996

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005