California State Board of Optometry
Licensing details for: 4449
Name: COFFEY, GLENN KEVIN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
3278 WANDSWORTH DRIVE
SHASTA LAKE CA 96019
SHASTA 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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5729 Primary Status: Cancelled
Address :
1300 DANA DRIVE
REDDING CA 96003
SHASTA COUNTY
