California State Board of Optometry
Licensing details for: 41341
Name: zolty, ashlen thaddeus michael
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO 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 #741
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7128 Primary Status: Current
Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: zolty, ashlen thaddeus michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8424 Primary Status: Current
Address :
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO COUNTY



