California State Board of Optometry
Licensing details for: 7037
Name: WAL-MART # 1840
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
1205 S MAIN ST
MANTECA CA 95337
SAN JOAQUIN 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: MCKEE, JENNIFER LLYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1540 Primary Status: Cancelled
Address :
704 PINE STREET
MANTECA CA 95336
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GOLDING, SETH ASHTON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1399 Primary Status: Cancelled
Address :
2569 E HOUSTON AVE
FRESNO CA 93720
FRESNO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DALL-ANGELO, PAULA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1278 Primary Status: Cancelled
Address :
1545 MICHAEL WAY
TURLOCK CA 95382
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HENSEL, FREDERICK WILLIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1538 Primary Status: Cancelled
Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOLDING, SETH ASHTON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5112 Primary Status: Cancelled
Address :
2569 E HOUSTON AVE
FRESNO CA 93720
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DALL-ANGELO, PAULA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4542 Primary Status: Cancelled
Address :
1545 MICHAEL WAY
TURLOCK CA 95382
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WINKLEBLECH, BRENDA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5383 Primary Status: Cancelled
Address :
1136 Muir Ct
MANTECA CA 95337-5225
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HENSEL, FREDERICK WILLIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5408 Primary Status: Cancelled
Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY



