California State Board of Optometry
Licensing details for: 42714
Name: Ansevics, Debra Susan
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
4063 Opal St
JURUPA VALLEY CA 92509-7263
RIVERSIDE 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 #678
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6856 Primary Status: Current
Address :
11800 4TH STREET
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Ansevics, Debra Susan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9184 Primary Status: Current
Address :
4063 Opal St
JURUPA VALLEY CA 92509-7263
