California State Board of Optometry
Licensing details for: 41109
Name: Gussman, Patrice
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
921 Foothill Dr
SAN JOSE CA 95123-4521
SANTA CLARA 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 #1267
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70779 Primary Status: Current
Address :
6898 Raleigh Rd
SAN JOSE CA 95119-1730
SANTA CLARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Gussman, Patrice
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8301 Primary Status: Cancelled
Address :
921 Foothill Dr
SAN JOSE CA 95123-4521
SANTA CLARA COUNTY
