California State Board of Optometry
Licensing details for: 2472
Name: NICHOLAS, ANNIE CLARK
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Previous Names: CLARK, ANNIE L
Address of Record
1908 W. 76TH STREET
LOS ANGELES CA 90047
LOS ANGELES county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #419
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6829 Primary Status: Cancelled
Address :
3560 W CENTURY BLVD
INGLEWOOD CA 90303
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #769
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6936 Primary Status: Current
Address :
3560 W CENTURY BLVD
INGLEWOOD CA 90303
LOS ANGELES COUNTY
