California State Board of Optometry
Licensing details for: 4619
Name: GUSTAFSON, JOHN GREGORY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
9 SOBRADORA DR
SANTA FE NM 87508
SANTA FE 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: NATIONAL VISION EYECARE CENTER #2206
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6130 Primary Status: Cancelled
Address :
27470 ALICIA PARKWAY
LAGUNA NIGUEL CA 92677
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: OWENS VALLEY OPTICAL CO
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 2208 Primary Status: Cancelled
Address :
214 W LINE ST SUITE B
BISHOP CA 93514
INYO COUNTY



