California State Board of Optometry
Licensing details for: 4871
Name: QUAN, SHELAINE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
39 LEWIS AVE
SOUTH SAN FRANCISCO CA 94080
SAN MATEO 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
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6456 Primary Status: Current
Address :
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: QUAN, SHELAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1318 Primary Status: Cancelled
Address :
39 LEWIS AVE
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY



