California State Board of Optometry
Licensing details for: 41784
Name: Polus, Mariam
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
255 s 2nd st
unit 20
EL CAJON CA 92019
SAN DIEGO 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: COSTCO WHOLESALE #488
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3839 Primary Status: Current
Address :
2345 FENTON PARKWAY
SAN DIEGO CA 92108
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Polus, Mariam
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8534 Primary Status: Cancelled
Address :
255 s 2nd st
unit 20
EL CAJON CA 92019
SAN DIEGO COUNTY
