California State Board of Optometry
Licensing details for: 40958
Name: LICON, NIKI - RAE ALEXIS
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
1555 N Elderberry Ct
ONTARIO CA 91762-1022
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: SAM'S CLUB #6619
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6734 Primary Status: Current
Address :
951 N MILLIKEN AVE
ONTARIO CA 91764-5008
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: LICON, NIKI - RAE ALEXIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8249 Primary Status: Current
Address :
1555 N Elderberry Ct
ONTARIO CA 91762-1022
SAN BERNARDINO COUNTY
