California State Board of Optometry

Licensing details for: 6932

Name: WAL-MART #1554

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

3702 E HAMMER LN
STOCKTON CA 95212
SAN JOAQUIN county
Map

Issuance Date

September 24, 2003

Expiration Date

September 30, 2005

Current Date / Time

November 5, 2025
11:29:20 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: GROCE, SUSAN M

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1229 Primary Status: Cancelled

Address :
3138 W SONOMA
STOCKTON CA 95204
SAN JOAQUIN COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ALLEN, KIMBERLY A

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3590 Primary Status: Cancelled

Address :
2310 W. ROSE STREET
STOCKTON CA 95203
SAN JOAQUIN COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GROCE, SUSAN M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3593 Primary Status: Cancelled

Address :
3138 W. SONOMA
STOCKTON CA 95204
SAN JOAQUIN COUNTY