California State Board of Optometry
Licensing details for: 5194
Name: BONILLA, MARTHA NATIVIDAD
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
828 W BEACH AVE APT 9
INGLEWOOD CA 90302
LOS ANGELES 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 STORE # 5032
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7017 Primary Status: Current
Address :
8450 LA PALMA AVE
BUENA PARK CA 90620
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: BONILLA, MARTHA NATIVIDAD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1430 Primary Status: Cancelled
Address :
828 W BEACH AVE APT 9
INGLEWOOD CA 90302
LOS ANGELES COUNTY
