California State Board of Optometry
Licensing details for: 7020
Name: SAM'S CLUB # 6624
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1055 HARRIMAN PLACE
SAN BERNARDINO CA 92408
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: HAND, LOIS S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1603 Primary Status: Cancelled
Address :
1313 CLOVERBROOK LANE
UPLAND CA 91784
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAKAHASHI, CHRISTINE ELAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1350 Primary Status: Cancelled
Address :
1055 E HARRIMAN PLACE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARUCH, JOSHUA JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8012 Primary Status: Current
Address :
12234 Palmdale Rd
VICTORVILLE CA 92392-9418
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARQUEZ, JR, GUADALUPE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8131 Primary Status: Cancelled
Address :
1415 W Marcella Ct
ONTARIO CA 91764-1923
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SPLINKER FERNANDEZ, SUSANA EDITH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2146 Primary Status: Delinquent
Address :
34862 Tara Ln
YUCAIPA CA 92399-6605
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: garcia, veronica
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8473 Primary Status: Current
Address :
PO Box 4382
ONTARIO CA 91761-0801
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOUSTRA, SUSAN CAROL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40254 Primary Status: Current
Address :
26025 Newport Rd # F304
MENIFEE CA 92584-7393
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SPLINKER FERNANDEZ, SUSANA EDITH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6282 Primary Status: Current
Address :
34862 Tara Ln
YUCAIPA CA 92399-6605
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARQUEZ, JR, GUADALUPE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40532 Primary Status: Cancelled
Address :
1415 W Marcella Ct
ONTARIO CA 91764-1923
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rivas, Daniel Raymund
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42887 Primary Status: Current
Address :
10734 Mills Rd
APPLE VALLEY CA 92308-8278
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: garcia, veronica
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41532 Primary Status: Current
Address :
PO Box 4382
ONTARIO CA 91761-0801
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARUCH, JOSHUA JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40102 Primary Status: Current
Address :
12234 Palmdale Rd
VICTORVILLE CA 92392-9418
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAKAHASHI, CHRISTINE ELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3900 Primary Status: Cancelled
Address :
1055 E HARRIMAN PL
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
