California State Board of Optometry

Licensing details for: 42734

Name: Annan, Derrian Chelsea

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

14005 Aztec St
SYLMAR CA 91342-4102
LOS ANGELES county
Map

Issuance Date

July 8, 2022

Expiration Date

July 31, 2024

Current Date / Time

November 5, 2025
1:52:21 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #1985

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7489 Primary Status: Current

Address :
5711 SEPULVEDA BLVD
VAN NUYS CA 91411
LOS ANGELES COUNTY