California State Board of Optometry

Licensing details for: 5886

Name: BROADFOOT, MARIDEE DARNELL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2780 BLACK WALNUT ROAD
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO county
Map

Issuance Date

October 6, 2008

Expiration Date

March 31, 2012

Current Date / Time

November 6, 2025
5:1:20 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY