California State Board of Optometry
Licensing details for: 40586
Name: Abraham, BUSHRA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Previous Names: IBRAHIM, BUSHRA SAAD AWD
Address of Record
340 center mall
LAKEWOOD CA 90712
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: COSTCO WHOLESALE CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7368 Primary Status: Current
Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Abraham, BUSHRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8340 Primary Status: Current
Address :
340 center mall
LAKEWOOD CA 90712
LOS ANGELES COUNTY



