California State Board of Optometry
Licensing details for: 5582
Name: CHAVEZ, MONIQUE TINA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
6978 GREGORICH DRIVE UNIT B
SAN JOSE CA 95138
SANTA CLARA 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: LENSCRAFTERS #066
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3667 Primary Status: Cancelled
Address :
2200 EASTRIDGE MALL STE 1078
SAN JOSE CA 95122
SANTA CLARA COUNTY



