California State Board of Optometry

Licensing details for: 40501

Name: G. LARSON, SOPHIA GABRIELA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: GABRIELA, LARSON SOPHIA

Address of Record

717 Lime Ave
LONG BEACH CA 90813-4617
LOS ANGELES county
Map

Issuance Date

December 14, 2015

Expiration Date

January 31, 2019

Current Date / Time

November 5, 2025
10:44:17 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE #3477

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6885 Primary Status: Current

Address :
7250 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY