California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: FIROUZKOOHI, JALE AMIR

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5461 Primary Status: Cancelled

Address :
22452 Marlin Pl
WEST HILLS CA 91307-2621
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: AMADO, SARA ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40187 Primary Status: Cancelled

Address :
4051 E Main St
VENTURA CA 93003-8280
VENTURA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CHAVEZ, ELIZABETH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40475 Primary Status: Revoked

Address :
1753 Ida St
CAMARILLO CA 93010-7833
VENTURA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MORA QUESADA, LUCY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40224 Primary Status: Cancelled

Address :
4530 Carpinteria Ave Apt 3
CARPINTERIA CA 93013-1842
SANTA BARBARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: REDDEN, SHELLI

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40139 Primary Status: Cancelled

Address :
5599 Ralston St Unit 214
VENTURA CA 93003-6140
VENTURA COUNTY

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