California State Board of Optometry
Licensing details for: 5300
Name: TACULOG, KHAREN L
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
33 SAN JOSE AVE
SAN FRANCISCO CA 94115
SAN FRANCISCO 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: COSTCO WHOLESALE
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6456 Primary Status: Current
Address :
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: TACALOG, KHAREN L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1485 Primary Status: Cancelled
Address :
33 SAN JOSE AVE
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY



