California State Board of Optometry
Licensing details for: 6753
Name: JC PENNEY OPTICAL #1218
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Delinquent
Address of Record
PROMENADE MALL
40640 WINCHESTER RD
TEMECULA CA 92591
RIVERSIDE 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: KREMPA, SHANNON PATRICK
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1424 Primary Status: Delinquent
Address :
13842 DEAUVILLE DR
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MILLER, BILLIE R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 894 Primary Status: Cancelled
Address :
27701 MURIETTA RD SP 85
SUN CITY CA 92586
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ST PETERS, GAYLE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4040 Primary Status: Current
Address :
32455 CAPE COD DR
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLER, BILLIE R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2739 Primary Status: Cancelled
Address :
27701 MURRIETA RD SP 85
SUN CITY CA 92586
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARNELL, NAM CHEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5433 Primary Status: Cancelled
Address :
9302 SAN RAFAEL ARCANGEL LANE
RIVERSIDE CA 92508
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHEATLY, LINDA LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5168 Primary Status: Cancelled
Address :
P O BOX 890777
TEMECULA CA 92589
RIVERSIDE COUNTY
