California State Board of Optometry
Licensing details for: 7248
Name: SAM'S CLUB# 4941
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
79312 HIGHWAY 111
LA QUINTA CA 92253
RIVERSIDE 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: COOKS, ALEANTHEA DEDEDRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1542 Primary Status: Cancelled
Address :
2568 E BASELINE ST 180
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SWADENER, LISA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1971 Primary Status: Cancelled
Address :
3527 BIG BEN DRIVE UNIT F
FORT COLLINS CO 80526
LARIMER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COOKS, ALEANTHEA DEDEDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5414 Primary Status: Cancelled
Address :
2568 E BASELINE ST APT 180
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
