California State Board of Optometry
Licensing details for: 7570
Name: STANTON OPTICAL #05
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: STANTON OPTICAL
Address of Record
3200 SISK ROAD
MODESTO CA 95356
STANISLAUS 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: Gossen, Dawn A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8434 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95377
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CANADY, TYNISA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2106 Primary Status: Cancelled
Address :
8200 Essen Way
SACRAMENTO CA 95823-5550
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SORRELLS, CASEY ROBERT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2057 Primary Status: Delinquent
Address :
3200 Sisk Rd
MODESTO CA 95356-0546
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERRANTE, GEORGE MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5479 Primary Status: Cancelled
Address :
6102 TEMPLETON DR
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SORRELLS, CASEY ROBERT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40080 Primary Status: Delinquent
Address :
3200 Sisk Rd
MODESTO CA 95356-0546
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gossen, Dawn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41391 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
