California State Board of Optometry

Licensing details for: 672

Name: MACTAGGART, LISA R

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: STOUT, LISA R

Address of Record

2809 E LOS ALTOS
FRESNO CA 93710-4813
FRESNO county
Map

Issuance Date

December 23, 1987

Expiration Date

May 31, 2013

Current Date / Time

November 5, 2025
7:54:58 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART #2985

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6903 Primary Status: Current

Address :
7065 N INGRAM AVE
FRESNO CA 93650
FRESNO COUNTY