California State Board of Optometry

Licensing details for: 6822

Name: HARRIS, TERRY WILLIAM

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3034 WILDERNESS DRIVE SE
OLYMPIA WA 98501
THURSTON county
Map

Issuance Date

June 7, 2013

Expiration Date

August 31, 2018

Current Date / Time

November 6, 2025
12:48:18 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB # 6621

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7033 Primary Status: Current

Address :
904 PLEASANT GROVE BLVD.
ROSEVILLE CA 95678
PLACER COUNTY