California State Board of Optometry
Licensing details for: 41100
Name: Smith, Roxanne Margaret
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
1425 Tourney Dr
SAN JOSE CA 95131-2629
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 #1004
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7307 Primary Status: Current
Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY



