California State Board of Optometry
Licensing details for: 5193
Name: CORKER, ANITA GAYLE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
6233 Welty Way
SACRAMENTO CA 95824-3831
SACRAMENTO 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: WALMART VISION CENTER 5192
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7198 Primary Status: Current
Address :
5821 Antelope Rd
SACRAMENTO CA 95842-3902
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART STORE #3587
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6996 Primary Status: Cancelled
Address :
1400 LEAD HILL BLVD
ROSEVILLE CA 95661
PLACER COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: CORKER, ANITA GAYLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1431 Primary Status: Cancelled
Address :
5724 El Campo Way
NORTH HIGHLANDS CA 95660-4812
SACRAMENTO COUNTY



