California State Board of Optometry
Licensing details for: 40360
Name: MOORE, KIMBERLY ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
1575 Majesty St
UPLAND CA 91784-9249
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: COSTCO WHOLESALE CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7322 Primary Status: Current
Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY



