California State Board of Optometry

Licensing details for: 1335

Name: DISMUKE, GLENN AUSTIN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2499 E 19TH STREET # 6
SIGNAL HILL CA 90755
LOS ANGELES county
Map

Issuance Date

January 6, 2004

Expiration Date

October 31, 2007

Current Date / Time

November 5, 2025
6:10:32 PM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6628

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6878 Primary Status: Current

Address :
2601 SKYPARK DR
TORRANCE CA 90505-5313
LOS ANGELES COUNTY