California State Board of Optometry

Licensing details for: 5348

Name: KIMBERLING, KATIE LEIGH

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3538 JASMINE AVE #2
LOS ANGELES CA 90034
LOS ANGELES county
Map

Issuance Date

September 13, 2005

Expiration Date

October 31, 2006

Current Date / Time

November 6, 2025
7:4:59 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #479

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6455 Primary Status: Current

Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY