California State Board of Optometry
Licensing details for: 6909
Name: WAL-MART #3464
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3943 GRAND AVE
CHINO CA 91710
SAN BERNARDINO 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: WILSON, SHERI MCCOY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2290 Primary Status: Delinquent
Address :
639 SCOTT PLACE # 5
GLENDORA CA 91740
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KHAN, LUZ MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1824 Primary Status: Current
Address :
4153 Miguel St
CHINO CA 91710-4951
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BUTLER, YVETTE L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1311 Primary Status: Cancelled
Address :
14010 ROCK ROSE CT
CORONA CA 92880
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARMAR, KAMLESHKUMAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40515 Primary Status: Current
Address :
14914 S Western Ave
GARDENA CA 90249-3808
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PINTOR, MARTHA MARTINEZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40750 Primary Status: Current
Address :
2283 W Orange Grove Ave
POMONA CA 91768-1129
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILSON, SHERI M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40900 Primary Status: Delinquent
Address :
639 Scott Pl Apt 5
GLENDORA CA 91740-4472
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BUTLER, YVETTE L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4849 Primary Status: Cancelled
Address :
14010 ROCK ROSE CT
CORONA CA 92880
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DELGADO, LINDA LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4853 Primary Status: Cancelled
Address :
1107 H WEST FRANCIS
ONTARIO CA 91761
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHELIM, JULIANUS RAPHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40560 Primary Status: Delinquent
Address :
16148 Augusta Dr
CHINO HILLS CA 91709-3356
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3917 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY



