California State Board of Optometry
Licensing details for: 6726
Name: DANS OPTICAL BOUTIQUE
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
4624 SHASTA DAM BLVD
SHASTA LAKE CA 96019
SHASTA county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SHAW, ROBERT W
License/Registration Type: Registered Contact Lens Dispenser
License Number: 581 Primary Status: Cancelled
Address :
P O BOX 361
ROUND MOUNTAIN CA 96084
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WALDROP, DENISE LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5482 Primary Status: Current
Address :
13777 Peace Valley Ln
REDDING CA 96003-7086
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WALDROP, GARY DANIEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4661 Primary Status: Current
Address :
4624 SHASTA DAM
SHASTA LAKE CA 96019
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHAW, ROBERT W
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1415 Primary Status: Cancelled
Address :
P O BOX 361
ROUND MOUNTAIN CA 96084
SHASTA COUNTY



