California State Board of Optometry
Licensing details for: 40482
Name: DIVIS, KIMBERLY MIKAYLA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
3207 Farris Ave
CERES CA 95307-3505
STANISLAUS 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 #1983
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7136 Primary Status: Current
Address :
3690 Mitchell Rd
CERES CA 95307-5022
STANISLAUS COUNTY



