California State Board of Optometry

Licensing details for: 40596

Name: BIELEFIELD, KATHRYN ELAINE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1780 Creekside Drive Apt 314
FOLSOM CA 95630
SACRAMENTO county
Map

Issuance Date

April 26, 2016

Expiration Date

September 30, 2021

Current Date / Time

November 6, 2025
9:8:44 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB 6620

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6980 Primary Status: Current

Address :
2495 IRON POINT RD #11
FOLSOM CA 95630
SACRAMENTO COUNTY