California State Board of Optometry
Licensing details for: 4959
Name: LEEPER, MICHAEL JOSEPH
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
9714 SVL BOX
VICTORVILLE CA 92395
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 CORP
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5968 Primary Status: Cancelled
Address :
14601 VALLEY CENTRAL DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1010
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7311 Primary Status: Current
Address :
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
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: 4126 Primary Status: Current
Address :
1099 E HOSPITALITY DR
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY



