California State Board of Optometry
Licensing details for: 40207
Name: FULLER, RAISHAWN JEWELL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
4259 Walton Ave
LOS ANGELES CA 90037-2427
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: LENSCRAFTERS #108
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3676 Primary Status: Current
Address :
4518 VAN NUYS BLVD
SHERMAN OAKS CA 91403
LOS ANGELES COUNTY
