California State Board of Optometry

Licensing details for: 6835

Name: COSTCO WHOLESALE #449

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

12649 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
Map

Issuance Date

May 28, 2002

Expiration Date

May 31, 2004

Current Date / Time

November 5, 2025
4:51:33 PM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: COLLINS, MARGARET FRANCES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3755 Primary Status: Cancelled

Address :
9152 C AVENUE SP 7
HESPERIA CA 92345
SAN BERNARDINO COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TORREZ, ROBERT JASON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4117 Primary Status: Cancelled

Address :
11050 BRYANT STREET #282
YUCAIPA CA 92399
SAN BERNARDINO COUNTY