California State Board of Optometry
Licensing details for: 41527
Name: Bustos, Maria Teresa Zapata
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
4560 Delores Drive
UNION CITY CA 94587
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 # 778
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7066 Primary Status: Current
Address :
43621 PACIFIC COMMONS BLVD
FREMONT CA 94538
ALAMEDA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Bustos, Maria Teresa Zapata
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8472 Primary Status: Cancelled
Address :
4560 Delores Dr
UNION CITY CA 94587-4836



