California State Board of Optometry
Licensing details for: 40571
Name: WYATT, BEVERLY KAY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
4500 E Ray Rd
2147
GILBERT AZ 85296-0671
MARICOPA 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 # 1001
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7265 Primary Status: Current
Address :
2700 PARK AVENUE
TUSTIN CA 92782
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: WYATT, BEVERLY KAY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8273 Primary Status: Delinquent
Address :
4500 E Ray Rd
2147
GILBERT AZ 85296-0671
MARICOPA COUNTY
