California State Board of Optometry
Licensing details for: 40492
Name: SHIM, DEBORAH EUN-KYUNG
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
17053 Pistache Dr
MORGAN HILL CA 95037-7246
SANTA CLARA 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 #1004
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7307 Primary Status: Current
Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SHIM, DEBORAH EUN-KYUNG
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8118 Primary Status: Delinquent
Address :
17053 Pistache Dr
MORGAN HILL CA 95037-7246
SANTA CLARA COUNTY



