California State Board of Optometry

Licensing details for: 40821

Name: MIDDLETON, RYAN DENARD

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

12633 Fair Oaks Blvd Apt 249
CITRUS HEIGHTS CA 95610-5964
SACRAMENTO county
Map

Issuance Date

January 20, 2017

Expiration Date

December 31, 2018

Current Date / Time

November 5, 2025
10:54:28 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #077

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3647 Primary Status: Current

Address :
5345 SUNRISE BLVD
FAIR OAKS CA 95628
SACRAMENTO COUNTY