California State Board of Optometry

Licensing details for: 40838

Name: BAUTISTA, DAMIAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

PO Box 10496
PALM DESERT CA 92255-0496
RIVERSIDE county
Map

Issuance Date

February 17, 2017

Expiration Date

March 31, 2018

Current Date / Time

November 5, 2025
10:56:28 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #885

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6172 Primary Status: Current

Address :
72-840 HWY 111 #F201
PALM DESERT CA 92260
RIVERSIDE COUNTY