California State Board of Optometry
Licensing details for: 1112
Name: ALLEN, MADELYN JEWEL
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
8324 Villaview Dr
CITRUS HEIGHTS CA 95621-0135
SACRAMENTO county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART OPTICAL 4202
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70567 Primary Status: Cancelled
Address :
1400 Lead Hill Blv
ROCKLIN CA 95677
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: SITE FOR SORE EYES
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7116 Primary Status: Cancelled
Address :
1095 ROSEVILLE SQUARE
ROSEVILLE CA 95678
PLACER COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALLEN, MADELYN JEWEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3554 Primary Status: Cancelled
Address :
8324 Villaview Dr
CITRUS HEIGHTS CA 95621-0135
SACRAMENTO COUNTY



