California State Board of Optometry
Licensing details for: 4120
Name: KOLYBAKOS, MARY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
6131 COUNTRY CLUB DIRVE
ROHNERT PARK CA 94928
SONOMA 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: J C PENNEY OPTICAL #946
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 4237 Primary Status: Delinquent
Address :
340 SOUTHLAND MALL
HAYWARD CA 94545
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: OPTICAL WORLD
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 2859 Primary Status: Cancelled
Address :
1054 SANTA ROSA PLAZA
SANTA ROSA CA 95401
SONOMA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: KOLYBAKOS, MARY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1195 Primary Status: Cancelled
Address :
6131 COUNTRY CLUB DRIVE
ROHNERT PARK CA 94928
SONOMA COUNTY



