License holder summary

KEIZO FUKUTA is a Pharmacist, Pharmacies - Cs 1 licensed to practice in Michigan. The address on file for KEIZO FUKUTA is Southfield, MI 48075.

Michigan

Department of Licensing and Regulation

KEIZO FUKUTA
Pharmacist, Pharmacies - Cs 1
License number
4301058855
Date expires
06/30/1993
Class
Pharmacist, Pharmacies - Cs 1
Status
Lapsed
Address
Southfield, MI 48075
michiganlicensing.org
ID 25934599
LAST UPDATED 2024-04-13 14:56:57 UTC

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