California State Board of Optometry

Licensing details for: 40407

Name: WELLER, EDEN AMANDA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

17847 Stillmore St
CANYON COUNTRY CA 91387-3514
LOS ANGELES county
Map

Issuance Date

July 23, 2015

Expiration Date

August 31, 2018

Current Date / Time

November 5, 2025
2:51:13 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #447

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6834 Primary Status: Current

Address :
18649 VIA PRINCESSA
SANTA CLARITA CA 91351
LOS ANGELES COUNTY