California State Board of Optometry

Licensing details for: 1353

Name: JACKSON, TIMOTHY ALLEN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2751 SKYPARK DRIVE
TORRANCE CA 90505
LOS ANGELES county
Map

Issuance Date

March 10, 2004

Expiration Date

November 30, 2013

Current Date / Time

November 6, 2025
12:41:15 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE # 476

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6396 Primary Status: Cancelled

Address :
2751 SKYPARK DR
TORRANCE CA 90509
LOS ANGELES COUNTY