California State Board of Optometry
Licensing details for: 40211
Name: PACKHAM, COLIN ANDREW
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
63 Muirfield Ct
SAN JOSE CA 95116-2652
SANTA CLARA 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 #1004
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7307 Primary Status: Current
Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY



