California State Board of Optometry
Licensing details for: 40645
Name: JOHNSON, BRANNON ERWIN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
4416 Mattnick Dr
BAKERSFIELD CA 93313-3917
KERN 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 643
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7189 Primary Status: Current
Address :
4900 PANAMA LANE
BAKERSFIELD CA 93313
KERN COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: JOHNSON, BRANNON ERWIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8285 Primary Status: Delinquent
Address :
3135 Alameda St
Unit 20
MEDFORD OR 97504-8646
JACKSON COUNTY



