GENE ERNEST FONGER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006723

License Status

NOT RENEWED

Business

First Name

GENE ERNEST

Last Name

FONGER

Business Name

GENE ERNEST FONGER

Original Issue Date

07/18/1975

Expiration Date

01/01/1997

City

GRAND RAPIDS

State

Zip

49502

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005