California State Board of Optometry
Licensing details for: 40882
Name: FOSDICK, THERESA ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
7240 Braceo St
OAK HILLS CA 92344-0674
SAN BERNARDINO 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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7322 Primary Status: Current
Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: FOSDICK, THERESA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8435 Primary Status: Current
Address :
7240 Braceo Road
OAK HILLS CA 92344
