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
5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE 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: WALMART #3129
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71465 Primary Status: Current
Address :
14100 Limonite Ave
EASTVALE CA 92880-3855
RIVERSIDE COUNTY
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 :
5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE 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 :
5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE COUNTY



