California State Board of Optometry
Licensing details for: 40830
Name: SULLIVAN, SUSAN ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Previous Names: SULLIVAN, SUSAN A
Address of Record
17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO 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 STORE 3494
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6970 Primary Status: Current
Address :
732 CENTER DRIVE
SAN MARCOS CA 92069
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SULLIVAN, SUSAN ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8299 Primary Status: Current
Address :
17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO COUNTY
