California State Board of Optometry

Licensing details for: 4305

Name: BEAL, MILLIE PATRICIA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

7323 COLLEGE VIEW DR APT 502
ROHNERT PARK CA 94928
SONOMA county
Map

Issuance Date

August 28, 1998

Expiration Date

January 31, 2004

Current Date / Time

November 6, 2025
7:55:55 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #659

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6867 Primary Status: Current

Address :
5901 REDWOOD DR
ROHNERT PARK CA 94928
SONOMA COUNTY