California State Board of Optometry
Licensing details for: 6889
Name: WAL-MART #2950
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
37140 47TH ST EAST
PALMDALE CA 93552
LOS ANGELES 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: EVANS-CRAIG, MARY L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1375 Primary Status: Cancelled
Address :
750 GAVIOTA AVE # 2
LONG BEACH CA 90813
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LOPEZ, DANIEL DEJESUS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8313 Primary Status: Current
Address :
45658 Palm Ln
LANCASTER CA 93535-1449
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BELTZ, JOHN AUGUST
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1549 Primary Status: Cancelled
Address :
3242 ROLLING RIDGE
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Park, Jennifer Chun
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41528 Primary Status: Current
Address :
22017 Nancy Pl
SANTA CLARITA CA 91350-4304
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Guzman, Monica
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41213 Primary Status: Current
Address :
3103 Brentwood Ave
LANCASTER CA 93536-5483
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EVANS-CRAIG, MARY L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5062 Primary Status: Cancelled
Address :
750 GAVIOTA AVE # 2
LONG BEACH CA 90813
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BELTZ, JOHN AUGUST
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5432 Primary Status: Cancelled
Address :
3242 ROLLING RIDGE
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOPEZ, DANIEL DEJESUS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6819 Primary Status: Current
Address :
45658 Palm Ln
LANCASTER CA 93535-1449
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KEITH, DAVID EUGENE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5247 Primary Status: Cancelled
Address :
3524 E AVE R SPACE 1
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MC CABE, RICK A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1137 Primary Status: Cancelled
Address :
95-200 AKULI PLACE
MILILANI HI 96789
HONOLULU COUNTY



