California State Board of Optometry

Licensing details for: 40884

Name: BURGOS, JILLIAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

10939 Morrison Street apt 306
NORTH HOLLYWOOD CA 91601
LOS ANGELES county
Map

Issuance Date

April 27, 2017

Expiration Date

November 30, 2024

Current Date / Time

November 5, 2025
5:23:37 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #088

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3789 Primary Status: Current

Address :
1601 VERDUGO AVE
BURBANK CA 91506
LOS ANGELES COUNTY