California State Board of Optometry

Licensing details for: 13204

Name: KAWAGUCHI, GLENN KEVIN O.D.

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

3855 State St
SANTA BARBARA CA 93105-3152
SANTA BARBARA county
Map

Issuance Date

April 25, 2019

Expiration Date

April 30, 2024

Current Date / Time

April 3, 2026
9:45:37 PM

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: KAWAGUCHI, GLENN KEVIN O.D.

License/Registration Type: Optometrist

License Number: 9986 Primary Status: Current

Address :
518 N Moorpark Rd
THOUSAND OAKS CA 91360-3703
VENTURA COUNTY