California State Board of Optometry
Licensing details for: 41467
Name: Moniz, Tracy
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
29101 Springshores Dr
MENIFEE CA 92585
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 #455
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6839 Primary Status: Current
Address :
12700 DAY ST
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Moniz, Tracy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8436 Primary Status: Delinquent
Address :
29101 Springshores Dr
MENIFEE CA 92585
RIVERSIDE COUNTY



