California State Board of Optometry
Licensing details for: 6991
Name: SAM'S CLUB # 4767
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
39940 WEST 10 STREET
PALMDALE CA 93551
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: TALBOT, LACY L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1387 Primary Status: Cancelled
Address :
44045 N 15TH ST W # 106
LANCASTER CA 93534
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUZMAN, JULIO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1816 Primary Status: Delinquent
Address :
3103 BRENTWOOD AVE
LANCASTER CA 93536
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, GLADIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8325 Primary Status: Current
Address :
1419 N. Normandie Ave
LOS ANGELES CA 90027
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ULLOA, GABRIELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4146 Primary Status: Current
Address :
14642 Hutchcroft St
LA PUENTE CA 91744-2532
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, JULIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5617 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: TALBOT, LACY L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5094 Primary Status: Cancelled
Address :
44045 N 15TH ST W # 106
LANCASTER CA 93534
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KARAGUEZIAN, KEVORK OHANNES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5120 Primary Status: Current
Address :
1355 RICHFIELD AVE
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOPEZ, GLADIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41149 Primary Status: Current
Address :
1419 N Normandie Ave
LOS ANGELES CA 90027-5817
LOS ANGELES COUNTY
