California State Board of Optometry
Licensing details for: 40080
Name: SORRELLS, CASEY ROBERT
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
3200 Sisk Rd
MODESTO CA 95356-0546
STANISLAUS 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: STANTON OPTICAL #05
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7570 Primary Status: Cancelled
Address :
3200 SISK ROAD
MODESTO CA 95356
STANISLAUS COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
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



