California State Board of Optometry

Licensing details for: 4544

Name: TAN, MAI KIM

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1130 N SUNKIST AVE
LA PUENTE CA 91746
LOS ANGELES county
Map

Issuance Date

December 8, 2000

Expiration Date

August 31, 2002

Current Date / Time

April 4, 2026
1:00:20 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS INC #799

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6349 Primary Status: Current

Address :
1731 Montebello Town Ctr
MONTEBELLO CA 90640-2164
LOS ANGELES COUNTY