California State Board of Optometry
Licensing details for: 5460
Name: LAIRD, JEFFREY LEE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
14411 Palmdale Rd Spc 14
VICTORVILLE CA 92392-2759
SAN BERNARDINO 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 CORP
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5968 Primary Status: Cancelled
Address :
14601 VALLEY CENTRAL DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1010
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7311 Primary Status: Current
Address :
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: LAIRD, JEFFREY LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1567 Primary Status: Cancelled
Address :
14411 Palmdale Rd Spc 14
VICTORVILLE CA 92392-2759
SAN BERNARDINO COUNTY



