California State Board of Optometry
Licensing details for: 6829
Name: COSTCO WHOLESALE #419
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
3560 W CENTURY BLVD
INGLEWOOD CA 90303
LOS ANGELES 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: NICHOLAS, ANNIE CLARK
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2472 Primary Status: Cancelled
Address :
1908 W. 76TH STREET
LOS ANGELES CA 90047
LOS ANGELES COUNTY



