California State Board of Optometry
Licensing details for: 6542
Name: IBARRA, MANUEL EDWARD
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
24705 Riverchase Dr Apt 6206
VALENCIA CA 91355-1424
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: WAL-MART 5152
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6978 Primary Status: Current
Address :
6433 FALLBROOK AVENUE
WEST HILLS CA 91307
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: IBARRA, MANUEL EDWARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2171 Primary Status: Cancelled
Address :
24705 Riverchse Drive Apt 6206
VALENCIA CA 91355
LOS ANGELES COUNTY



