California State Board of Optometry

Licensing details for: 42113

Name: Nguyen-Portillo, Lee-Jin Thi

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: Nguyen, Lee-Jin Thi

Address of Record

631 E Grove St
RIALTO CA 92376-5232
SAN BERNARDINO county
Map

Issuance Date

June 24, 2020

Expiration Date

June 30, 2026

Current Date / Time

November 6, 2025
1:30:7 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENS CRAFTERS AT MACY'S #9007

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70835 Primary Status: Current

Address :
7855 Kew Ave
RANCHO CUCAMONGA CA 91739-8801
SAN BERNARDINO COUNTY