California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PENA, AURORA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5358 Primary Status: Cancelled

Address :
14960 CHATSWORTH ST
MISSION HILLS CA 91345
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERNANDEZ, JOHN ANTHONY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41289 Primary Status: Cancelled

Address :
7255 winnetka ave
apt 106
WINNETKA CA 91306
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: EUDAVE, ADRIANA CIVITA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6598 Primary Status: Cancelled

Address :
9235 Valjean Ave
NORTH HILLS CA 91343-3819
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Eudave, Joanna Marina

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41476 Primary Status: Current

Address :
18014 Sherman Way
245
RESEDA CA 91335-4643
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PIESMAN, BORIS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6155 Primary Status: Cancelled

Address :
5856 PARKMOR ROAD
CALABASAS CA 91302
LOS ANGELES COUNTY

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