California State Board of Optometry
Licensing details for: 41078
Name: ELLIOTT, PAUL JEROME
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
8748 Rainbow Ridge Rd
JOSHUA TREE CA 92252-0887
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: WAL-MART VISION CENTER # 1915
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7696 Primary Status: Current
Address :
58501 29 PALMS HWY
YUCCA VALLEY CA 92284
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: ELLIOTT, PAUL JEROME
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8543 Primary Status: Delinquent
Address :
po box 917
JOSHUA TREE CA 92252
SAN BERNARDINO COUNTY



