California State Board of Optometry

Licensing details for: 40788

Name: VILLARREAL, CYNTHIA DENISE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

37612 16th St East
PALMDALE CA 93550
LOS ANGELES county
Map

Issuance Date

December 15, 2016

Expiration Date

November 30, 2020

Current Date / Time

November 6, 2025
7:44:26 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #677

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6760 Primary Status: Current

Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY