California State Board of Optometry
Licensing details for: 40777
Name: SOLOMON, BANA ZEMICAEL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA 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 # 671
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3998 Primary Status: Current
Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SOLOMON, BANA ZEMICAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8198 Primary Status: Delinquent
Address :
2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA COUNTY



