California State Board of Optometry
Licensing details for: 6040
Name: HARMON-BEAVERS, LISA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
809 SW 3rd St
B
BRYANT AR 72022-3376
SALINE 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: SAM'S CLUB # 6623
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7242 Primary Status: Cancelled
Address :
3360 EL CAMINO AVE
SACRAMENTO CA 95821
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: HARMON-BEAVERS, LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1748 Primary Status: Delinquent
Address :
809 SW 3rd St
BRYANT AR 72022-3376
SALINE COUNTY



