California State Board of Optometry

Licensing details for: 40400

Name: SMITH, ROMONA RENEE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

812 Eds Blvd
SHREVEPORT LA 71107
CADDO county
Map

Issuance Date

July 21, 2015

Expiration Date

March 31, 2017

Current Date / Time

November 5, 2025
5:46:38 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART #2948

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6893 Primary Status: Current

Address :
13310 TELEGRAPH RD
SANTA FE SPRINGS CA 90670
LOS ANGELES COUNTY