California State Board of Optometry

Licensing details for: 40266

Name: MANNING, KELLI NICOLE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

11711 Collett Ave Apt 617
RIVERSIDE CA 92505-3772
RIVERSIDE county
Map

Issuance Date

January 20, 2015

Expiration Date

January 31, 2017

Current Date / Time

November 6, 2025
12:27:0 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #455

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6839 Primary Status: Current

Address :
12700 DAY ST
MORENO VALLEY CA 92553
RIVERSIDE COUNTY