California State Board of Optometry

Licensing details for: 6808

Name: KIRKWOOD, KATIE LEIGH

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
ORANGE county
Map

Issuance Date

May 28, 2013

Expiration Date

October 31, 2020

Current Date / Time

November 6, 2025
7:5:11 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #479

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6455 Primary Status: Current

Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY