California State Board of Optometry

Licensing details for: 6377

Name: ELISSONDO, KRISTEN MARIE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: ROTH, KRISTEN MARIE ❖ Elissondo, KRISTEN MARIE

Address of Record

2555 Tachevah Dr
SANTA ROSA CA 95405-8074
SONOMA county
Map

Issuance Date

March 1, 2011

Expiration Date

April 30, 2020

Current Date / Time

November 6, 2025
7:40:36 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: ELISSONDO, KRISTEN MARIE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2113 Primary Status: Cancelled

Address :
2555 Tachevah Dr
SANTA ROSA CA 95405-8074
SONOMA COUNTY