California State Board of Optometry

Licensing details for: 1364

Name: PHAN, HAO Q

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1965 ROSENELFE CIRCLE
SAN JOSE CA 95148
SANTA CLARA county
Map

Issuance Date

April 8, 2004

Expiration Date

March 31, 2006

Current Date / Time

November 6, 2025
12:54:48 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S VISION CENTER #6405

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6877 Primary Status: Current

Address :
900 WALTON AVE
YUBA CITY CA 95993
SUTTER COUNTY