California State Board of Optometry

Licensing details for: 6595

Name: LOZANO, MAYRA ALEJANDRA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

21225 Roscoe Blvd Apt 55
CANOGA PARK CA 91304-4241
LOS ANGELES county
Map

Issuance Date

April 6, 2012

Expiration Date

September 30, 2025

Current Date / Time

November 5, 2025
12:39:13 PM

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