California State Board of Optometry
Licensing details for: 4462
Name: MALDONADO, JORGE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
4637 Central Ave
RIVERSIDE CA 92506-2328
RIVERSIDE 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: SAM'S CLUB #6378
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6880 Primary Status: Current
Address :
6363 VALLEY SPRINGS PKWY
RIVERSIDE CA 92507
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: A VISION R
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70788 Primary Status: Current
Address :
1600 E Holt Ave # J-13
POMONA CA 91767-5826
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: MALDONADO, JORGE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1586 Primary Status: Delinquent
Address :
4637 Central Ave
RIVERSIDE CA 92506-2328
RIVERSIDE COUNTY



