California State Board of Optometry
Licensing details for: 40313
Name: BEANBLOSSOM, ERIKA DENISE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
PO Box 6990
BIG BEAR LAKE CA 92315-6990
SAN BERNARDINO 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: WAL-MART VISION CENTER #1899
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7095 Primary Status: Current
Address :
6250 VALLEY SPRINGS PKWY
RIVERSIDE CA 92507
RIVERSIDE COUNTY



