California State Board of Optometry
Licensing details for: 43723
Name: CLARK, JESSE LYNN VI
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
432 Felton Way
STOCKTON CA 95207-2737
SAN JOAQUIN 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 #1031
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7345 Primary Status: Current
Address :
2440 DANIELS STREET
MANTECA CA 95336
SAN JOAQUIN COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: CLARK, JESSE LYNN VI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8545 Primary Status: Current
Address :
2440 daniels st
MANTECA CA 95336
SAN JOAQUIN COUNTY



