California State Board of Optometry
Licensing details for: 6495
Name: BROCCOLO, JOHN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
17950 Vanowen St
RESEDA CA 91335-5649
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 #447
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6834 Primary Status: Current
Address :
18649 VIA PRINCESSA
SANTA CLARITA CA 91351
LOS ANGELES COUNTY



