California State Board of Optometry
Licensing details for: 5039
Name: DIAZ, JESSICA JANETH
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Previous Names: DIAZ, JESSICA J
Address of Record
1433 PEQUENA STREET
SAN DIEGO CA 92154
SAN DIEGO 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: WAL-MART 3516
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6973 Primary Status: Current
Address :
1360 EAST LAKE PARKWAY
CHULA VISTA CA 91915
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART #2948
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6893 Primary Status: Current
Address :
13310 TELEGRAPH RD
SANTA FE SPRINGS CA 90670
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: DIAZ, JESSICA JANETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1496 Primary Status: Cancelled
Address :
1433 PEQUENA STREET
SAN DIEGO CA 92154
SAN DIEGO COUNTY



