California State Board of Optometry
Licensing details for: 7890
Name: University Avenue Optometry
License Type: Fictitious Name Permit
Primary Status: Current

Address of Record
270 University Ave
PALO ALTO CA 94301-1713
Map
License Relationships
Fictitious Name Permit to Optometrist
License/Registration Role: Fictitious Name Permit
Related Party Role: Optometrist
Name: FONG, VERISSA LAM
License/Registration Type: Optometrist
License Number: 15279 Primary Status: Current
Address :
1001 Springfield Dr
MILLBRAE CA 94030-1547
SAN FRANCISCO COUNTY



