California State Board of Optometry
Licensing details for: 7051
Name: WAL-MART # 1789
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
2350 W KETTLEMAN LANE
LODI CA 95242
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: 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: CLINE, THOMAS LOUIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1659 Primary Status: Cancelled
Address :
317 CORDOVA LANE
STOCKTON CA 95207
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SISK, GREGORY ALLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1502 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ANGELES, MARIA E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1539 Primary Status: Delinquent
Address :
9993 Harvey Rd
GALT CA 95632-8864
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANGELES, MARIA E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5410 Primary Status: Delinquent
Address :
9993 Harvey Rd
GALT CA 95632-8864
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SISK, GREGORY ALLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5330 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
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
