California State Board of Optometry
Licensing details for: 40019
Name: GARCIA, MOISES JR
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
SAN BERNARDINO 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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 4126 Primary Status: Current
Address :
1099 E HOSPITALITY DR
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7368 Primary Status: Current
Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY



