California State Board of Optometry
Licensing details for: 42447
Name: Graves, Ashley
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
24242 Lysanda Dr
MISSION VIEJO CA 92691-3911
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: COSTCO WHOLESALE CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7368 Primary Status: Current
Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Graves, Ashley
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8746 Primary Status: Current
Address :
6810 Millmark Ave
LONG BEACH CA 90805-1430
LOS ANGELES COUNTY



