California State Board of Optometry
Licensing details for: 40050
Name: FERGUSON, DERRICK ANTHONY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
942 N Louise St
7
GLENDALE CA 91207-2053
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: WAL-MART VISION CENTER #2526
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71366 Primary Status: Current
Address :
19821 Rinaldi St
PORTER RANCH CA 91326-4145
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART STORE #2960
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6886 Primary Status: Cancelled
Address :
4101 S CRENSHAW
LOS ANGELES CA 90008
LOS ANGELES COUNTY
