California State Board of Optometry
Licensing details for: 41491
Name: Russell, Ethan James
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
2285 Lakeside Pl
Apt 106
CORONA CA 92879-7961
RIVERSIDE 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: TARGET OPTICAL #6726
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70659 Primary Status: Current
Address :
3944 Grand Ave
CHINO CA 91710-5422
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Russell, Ethan James
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8457 Primary Status: Current
Address :
2285 Lakeside Pl
Apt 106
CORONA CA 92879-7961
RIVERSIDE COUNTY



