California State Board of Optometry

Licensing details for: 40563

Name: DICDICAN, DIANA TIBON

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

10522 Willow Ln
SANTA FE SPRINGS CA 90670-3819
LOS ANGELES county
Map

Issuance Date

March 7, 2016

Expiration Date

April 30, 2017

Current Date / Time

November 6, 2025
4:15:32 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #748

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7096 Primary Status: Current

Address :
5401 KATELLA AVENUE
CYPRESS CA 90720
ORANGE COUNTY