California State Board of Optometry
Licensing details for: 3632
Name: WILLISON, DEBRA ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
2105-1 DUBLIN LN
DIAMOND BAR CA 91765
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: SAM'S CLUB #6610
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6892 Primary Status: Current
Address :
3951 GRAND AVE
CHINO CA 91710
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: J C PENNEY OPTICAL #779
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 4030 Primary Status: Delinquent
Address :
5100 MONTCLAIR PLAZA LN
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: WILLISON, DEBRA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1123 Primary Status: Delinquent
Address :
2105-1 DUBLIN LN
DIAMOND BAR CA 91765
LOS ANGELES COUNTY



