California State Board of Optometry
Licensing details for: 42100
Name: MORENO, LESLIE ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Previous Names: GUERICH, LESLIE ANN
Address of Record
13125 Concord Dr
VICTORVILLE CA 92392-8783
SAN BERNARDINO 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 Corporation
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70894 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: MORENO, LESLIE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8653 Primary Status: Delinquent
Address :
13125 Concord Dr
VICTORVILLE CA 92392-8783
SAN BERNARDINO COUNTY
