California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DICKERSON, NICOLE PATRICE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6493 Primary Status: Cancelled

Address :
2216 OAKWOOD DRIVE
BAKERSFIELD CA 93304
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MAYBERRY, CAROL JEAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6232 Primary Status: Cancelled

Address :
18681 WINGFOOT PLACE
TEHACHAPI CA 93561
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PLAZOLA, SUSANA MARIELA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6681 Primary Status: Cancelled

Address :
1204 LA PUENTE DR
BAKERSFIELD CA 93309
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CORONA, ALIMA CAROL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5481 Primary Status: Cancelled

Address :
5211 Cherry Creek Lane
BAKERSFIELD CA 93314
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CHRISTIAN, TRAVIS BRYAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6698 Primary Status: Cancelled

Address :
9302 HERCULES ST
BAKERSFIELD CA 93306
KERN COUNTY

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