California State Board of Optometry
Licensing details for: 40616
Name: PALENCIA, ANA GABRIELA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE 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: WAL-MART STORE # 3524
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7019 Primary Status: Cancelled
Address :
605 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALENCIA, ANA GABRIELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2319 Primary Status: Current
Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: PALENCIA, ANA GABRIELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2319 Primary Status: Current
Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY
