California State Board of Optometry

Licensing details for: 5205

Name: FOSTER, MARY ANNE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3568 RYAN DR
DIAMOND SPRINGS CA 95619
EL DORADO county
Map

Issuance Date

January 20, 2005

Expiration Date

April 30, 2016

Current Date / Time

November 6, 2025
7:34:49 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #765

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6899 Primary Status: Current

Address :
1800 CAVITT CT
FOLSOM CA 95630
SACRAMENTO COUNTY