California State Board of Optometry
Licensing details for: 6876
Name: SAM'S CLUB #6612
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
1225 CONCORD AVE
CONCORD CA 94520
CONTRA COSTA 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: LAVARIAS, ELAINE ANNETTE SABANGAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4565 Primary Status: Current
Address :
429 Gosser St
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MILPITAS CA 95035-2640
SANTA CLARA COUNTY



