California State Board of Optometry
Licensing details for: 6996
Name: WAL-MART STORE #3587
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
1400 LEAD HILL BLVD
ROSEVILLE CA 95661
PLACER 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: CORKER, ANITA GAYLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1431 Primary Status: Cancelled
Address :
5724 El Campo Way
NORTH HIGHLANDS CA 95660-4812
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHASE, CAROL J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1022 Primary Status: Cancelled
Address :
2205 GOODWATER AVE
REDDING CA 96002
SHASTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ZORCHENKO, EDWARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2079 Primary Status: Cancelled
Address :
4959 WIND CREEK DRIVE
SACRAMENTO CA 95838
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BURNETT, GLENN DAVID
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1655 Primary Status: Cancelled
Address :
8005 GLEN TREE DRIVE
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARLOW, GAYLA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1482 Primary Status: Cancelled
Address :
809 O STREET
LINCOLN CA 95648
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARCIA, ELLEN M.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1667 Primary Status: Cancelled
Address :
1311 Pilgrims Dr
ROSEVILLE CA 95747-6543
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LANE, CAROL ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6697 Primary Status: Cancelled
Address :
UNIT B
1280 INCLINE DR
LINCOLN CA 95648
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, ELLEN M.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4280 Primary Status: Cancelled
Address :
1311 Pilgrims Dr
ROSEVILLE CA 95747-6543
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHASE, CAROL J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3307 Primary Status: Cancelled
Address :
2205 GOODWATER AVE
REDDING CA 96002
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CORKER, ANITA GAYLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5193 Primary Status: Cancelled
Address :
6233 Welty Way
SACRAMENTO CA 95824-3831
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ZORCHENKO, EDWARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6284 Primary Status: Cancelled
Address :
4959 WIND CREEK DRIVE
SACRAMENTO CA 95838
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BURNETT, GLENN DAVID
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5499 Primary Status: Cancelled
Address :
8005 GLEN TREE DRIVE
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARLOW, GAYLA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5294 Primary Status: Cancelled
Address :
809 0 STREET
LINCOLN CA 95648
PLACER COUNTY
