California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TAPIA, KARINA A

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5186 Primary Status: Cancelled

Address :
585 ACACIA AVE
SAN BRUNO CA 94066
SAN MATEO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BEACH, LAUREEN THOMPSON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4601 Primary Status: Cancelled

Address :
531 CEDAR STREET
VALLEJO CA 94591
SOLANO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BOWLES, DIRK M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4622 Primary Status: Cancelled

Address :
15 SIDNEY ST
MILL VALLEY CA 94941
MARIN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Soriano, Rachel Grace

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41325 Primary Status: Cancelled

Address :
513 Maple Ave
SOUTH SAN FRANCISCO CA 94080-2943
SAN MATEO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MINA, GERMILINA CORPUS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5180 Primary Status: Cancelled

Address :
724 MANSELL STREET
SAN FRANCISCO CA 94134
SAN FRANCISCO COUNTY

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