California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: KENNEDY, PAMELA JO

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1864 Primary Status: Current

Address :
1136 SANDY CREEK DRIVE
FOLSOM CA 95630
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DUNAWAY, LINDA GAIL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6381 Primary Status: Cancelled

Address :
105 FRANKLIN STREET
ROSEVILLE CA 95678
PLACER COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WILSON, ADAM J

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6460 Primary Status: Cancelled

Address :
15605 Cascade Loop
NEVADA CITY CA 95959
NEVADA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HARMON-BEAVERS, LISA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6040 Primary Status: Delinquent

Address :
809 SW 3rd St
B
BRYANT AR 72022-3376
SALINE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HUNT, BRANDI LEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40509 Primary Status: Current

Address :
2495 Iron Point Rd
11
FOLSOM CA 95630-8710
SACRAMENTO COUNTY

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