California State Board of Optometry

Licensing details for: 5102

Name: SUPRUN, MARIYA S

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

8181 GUSTINE WAY
SACRAMENTO CA 95828
SACRAMENTO county
Map

Issuance Date

August 13, 2004

Expiration Date

July 31, 2008

Current Date / Time

November 5, 2025
7:36:53 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS INC # 727

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6365 Primary Status: Cancelled

Address :
515 L STREET SP A-1024
SACRAMENTO CA 95814
SACRAMENTO COUNTY