California State Board of Optometry

Licensing details for: 4506

Name: MILLIKAN, SHANNON W

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1079 ARBOR LANE
SAN MARCOS CA 92069
SAN DIEGO county
Map

Issuance Date

August 17, 2000

Expiration Date

September 30, 2005

Current Date / Time

November 5, 2025
5:21:37 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #416

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3776 Primary Status: Cancelled

Address :
725 CENTER DR
SAN MARCOS CA 92069
SAN DIEGO COUNTY

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5891 Primary Status: Current

Address :
26610 YNEZ RD
TEMECULA CA 92591
RIVERSIDE COUNTY