California State Board of Optometry
Licensing details for: 7046
Name: JC PENNEY OPTICAL # 1278
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Delinquent

Address of Record
12399 SOUTH MAIN STREET
RANCHO CUCAMONGA CA 91739
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: KREMPA, SHANNON PATRICK
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1424 Primary Status: Delinquent
Address :
13842 DEAUVILLE DR
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KREMPA, SHANNON PATRICK
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3477 Primary Status: Delinquent
Address :
13842 DEAUVILLE DRIVE
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY



