LANE LEIKO FUJITANI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

First Name

LANE LEIKO

Last Name

FUJITANI

Business Name

LANE LEIKO FUJITANI

Original Issue Date

05/30/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006