California State Board of Optometry
Licensing details for: 41252
Name: Haynes, Stephen Carl
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
1005 BLUE RAVINE RD APT 1313
FOLSOM CA 95630-3812
EL DORADO 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 STORE # 1760
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6989 Primary Status: Current
Address :
1018 RILEY STREET
FOLSOM CA 95630
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Haynes, Stephen Carl
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8542 Primary Status: Delinquent
Address :
1005 Blue Ravine Rd
Apt 1313
FOLSOM CA 95630-3496
