California State Board of Optometry
Licensing details for: 43380
Name: rodriguez, jaclyn rose
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
740 W 19th St
SAN BERNARDINO CA 92405-4239
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: 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: rodriguez, jaclyn rose
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9163 Primary Status: Current
Address :
740 W 19th St
SAN BERNARDINO CA 92405-4239



