California State Board of Optometry
Licensing details for: 40451
Name: DAGG, DANA JOY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
45103 16th St W
LANCASTER CA 93534-2138
LOS ANGELES 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 #762
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6905 Primary Status: Current
Address :
1141 WEST AVENUE L
LANCASTER CA 93534
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: DAGG, DANA JOY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8108 Primary Status: Delinquent
Address :
45103 16th St W
LANCASTER CA 93534-2138
LOS ANGELES COUNTY



