California State Board of Optometry
Licensing details for: 42859
Name: Haynes, Jan Susann
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
1161 W 23rd St
UPLAND CA 91784-1213
SAN BERNARDINO 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: J C PENNEY OPTICAL #779
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 4030 Primary Status: Delinquent
Address :
5100 MONTCLAIR PLAZA LN
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY



