California State Board of Optometry
Licensing details for: 4030
Name: J C PENNEY OPTICAL #779
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Delinquent
Previous Names: J C PENNEY OPTICAL
Address of Record
5100 MONTCLAIR PLAZA LN
MONTCLAIR CA 91763
SAN BERNARDINO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Haynes, Jan Susann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42859 Primary Status: Delinquent
Address :
1161 W 23rd St
UPLAND CA 91784-1213
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MAGSAYO, REBECCA DAGOHOY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3881 Primary Status: Cancelled
Address :
1421 N Garey Ave
POMONA CA 91767-3809
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RUSSELL, PATRICIA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6591 Primary Status: Cancelled
Address :
27100 Eucalyptus Ave
MORENO VALLEY CA 92555-4522
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLISON, DEBRA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3632 Primary Status: Delinquent
Address :
2105-1 DUBLIN LN
DIAMOND BAR CA 91765
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SONIA, CHRISTINA M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5729 Primary Status: Cancelled
Address :
22751 SPRINGMIST DRIVE
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
