California State Board of Optometry

Licensing details for: 4900

Name: MELLO, LISA RENEE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MELLO, LISA R

Address of Record

1005 HAZEN DR
SAN MARCOS CA 92069
SAN DIEGO county
Map

Issuance Date

September 24, 2003

Expiration Date

November 30, 2008

Current Date / Time

November 5, 2025
5:56:56 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #462

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6853 Primary Status: Current

Address :
951 PALOMAR AIRPORT RD
CARLSBAD CA 92009-1110
SAN DIEGO COUNTY