California State Board of Optometry

Licensing details for: 4022

Name: HULSEMAN, BUCKLEY SHELBY

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

684 SPRINGER DRIVE
REDDING CA 96003
SHASTA county
Map

Issuance Date

April 1, 1997

Expiration Date

January 31, 2021

Current Date / Time

April 8, 2026
4:23:01 AM

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: 5729 Primary Status: Cancelled

Address :
1300 DANA DRIVE
REDDING CA 96003
SHASTA COUNTY