California State Board of Optometry
Licensing details for: 42104
Name: Penner, Tracy Ann
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
11994 Peach Ln
WILTON CA 95693-9678
SACRAMENTO 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 #464
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6825 Primary Status: Current
Address :
7981 E STOCKTON BLVD
SACRAMENTO CA 95823
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Penner, Tracy Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8604 Primary Status: Current
Address :
11994 Peach Ln
WILTON CA 95693-9678
SACRAMENTO COUNTY
