California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WALKER, WANDA JEAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6211 Primary Status: Cancelled

Address :
13838 Vanowen St.
2
VAN NUYS CA 91405
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Amaya, Gabrielle Monique

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41529 Primary Status: Current

Address :
11373 dronfield terrace
PACOIMA CA 91331
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Gaytan, Isabel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41567 Primary Status: Delinquent

Address :
4030 Clinton St
LOS ANGELES CA 90004-2242

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Kamal, Fariha

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43139 Primary Status: Delinquent

Address :
6731 Leland Way Apt 322
322
LOS ANGELES CA 90028-7783
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: NGUYEN, THANH BINH THI

License/Registration Type: Optometrist

License Number: 13988 Primary Status: Current

Address :
1800 W EMPIRE AVE
BURBANK CA 91504
LOS ANGELES COUNTY

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