License holder summary

KUSUMOTO, FRED MASARU, MD is a Medical - Physician licensed to practice in Georgia. The address on file for KUSUMOTO, FRED MASARU, MD is 4500 SAN PABLO ROAD, Jacksonville 32224. This doctor license is not current. The license was granted 11/07/2014 and expired on 03/31/2016.

Georgia

Composite Medical Board

KUSUMOTO, FRED MASARU, MD
Medical - Physician
License number
073017
Date granted
11/07/2014
Date expires
03/31/2016
Class
Medical - Physician
Status
In Renewal
Address
4500 SAN PABLO ROAD
georgiadoctors.net
ID 38058028
LAST UPDATED 2026-04-21 11:49:26 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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