California State Board of Optometry
Licensing details for: 5862
Name: HADDAD, JACKLIN NIDAL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
17226 Ceredo Pl
GRANADA HILLS CA 91344-1606
LOS ANGELES 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 643
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7189 Primary Status: Current
Address :
4900 PANAMA LANE
BAKERSFIELD CA 93313
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE CORPORATION #48
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5731 Primary Status: Current
Address :
6100 SEPULVEDA BLVD
VAN NUYS CA 91411
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: HADDAD, JACKLIN NIDAL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1917 Primary Status: Current
Address :
17226 Ceredo Pl
GRANADA HILLS CA 91344-1606
LOS ANGELES COUNTY
