California State Board of Optometry
Licensing details for: 4938
Name: KWIATKOWSKI, JESSICA MARIE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
11800 Fourth St
RANCHO CUCAMONGA CA 91730-6129
SAN BERNARDINO 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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5729 Primary Status: Cancelled
Address :
1300 DANA DRIVE
REDDING CA 96003
SHASTA COUNTY
