California State Board of Optometry

Licensing details for: 5804

Name: JOHNSON, SAMUEL DAVID

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

802 KELLI DRIVE
YUBA CITY CA 95991
SUTTER county
Map

Issuance Date

May 5, 2008

Expiration Date

April 30, 2010

Current Date / Time

November 6, 2025
12:33:56 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART 5136

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6975 Primary Status: Current

Address :
1131 NORTH BEALE RD
MARYSVILLE CA 95901
YUBA COUNTY