California State Board of Optometry
Licensing details for: 40620
Name: DIAZ BAEZ, MIGUEL ANGEL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
13020 Holmes St
YUCAIPA CA 92399-4954
SAN BERNARDINO 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 VISION CENTER # 1862
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7081 Primary Status: Current
Address :
1366 S Riverside Ave
RIALTO CA 92376-7608
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIAZ BAEZ, MIGUEL ANGEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8078 Primary Status: Delinquent
Address :
3090 Harrison St
SAN BERNARDINO CA 92404-2530
SAN BERNARDINO COUNTY
