California State Board of Optometry
Licensing details for: 40511
Name: PENALOZA, EVELYN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
12701 Towne Center Dr
CERRITOS CA 90703-9348
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: NATIONAL VISION EYECARE #2082
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7317 Primary Status: Cancelled
Address :
12701 TOWN CENTER DR
CERRITOS CA 90703
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: PENALOZA, EVELYN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8264 Primary Status: Delinquent
Address :
12701 Towne Center Dr
CERRITOS CA 90703-9348
LOS ANGELES COUNTY
