California State Board of Optometry

Licensing details for: 5520

Name: GRIJALVA, MANDY MARIE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1850 BASSETT ST # 628
DENVER CO 80202
DENVER county
Map

Issuance Date

August 31, 2006

Expiration Date

March 31, 2014

Current Date / Time

April 8, 2026
2:41:47 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE # 671

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3998 Primary Status: Current

Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY