California State Board of Optometry

Licensing details for: 5048

Name: CHAMPLAIN, JAMES RUSSELL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

7123 PARISH WAY
CITRUS HEIGHTS CA 95621
SACRAMENTO county
Map

Issuance Date

May 5, 2004

Expiration Date

June 30, 2005

Current Date / Time

November 5, 2025
9:12:16 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #4799

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6938 Primary Status: Current

Address :
7147 GREENBACK LANE
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY