California State Board of Optometry

Licensing details for: 5868

Name: HENRY, LISA ANN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4215 W. SLAUSON AVE. #201
LOS ANGELES CA 90043
LOS ANGELES county
Map

Issuance Date

August 29, 2008

Expiration Date

December 31, 2009

Current Date / Time

November 5, 2025
5:5:47 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE #2960

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6886 Primary Status: Cancelled

Address :
4101 S CRENSHAW
LOS ANGELES CA 90008
LOS ANGELES COUNTY