California State Board of Optometry
Licensing details for: 41598
Name: Lopez, Derron JG
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
602 S. Alvy St.
ANAHEIM CA 92802
ORANGE 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: SAM'S CLUB OPTICAL # 6616
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70594 Primary Status: Current
Address :
603 S Placentia Ave
FULLERTON CA 92831-5112
ORANGE COUNTY



