California State Board of Optometry
Licensing details for: 41429
Name: Cervantes, Michael J
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
4840 Shawline St
SAN DIEGO CA 92111-1400
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 # 5338
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7015 Primary Status: Current
Address :
4840 SHAWLINE ST
SAN DIEGO CA 92111
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Cervantes, Michael J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8562 Primary Status: Delinquent
Address :
4840 Shawline St
SAN DIEGO CA 92111-1400
SAN DIEGO COUNTY
