California State Board of Optometry

Licensing details for: 1405

Name: ANDERSON, CHARUAN ANN MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: HAGEN, CHARUAN ANN MARIE ❖ HAGEN, CHARUAN ANN MANE

Address of Record

PO Box 861
HELENDALE CA 92342-0861
SAN BERNARDINO county
Map

Issuance Date

September 1, 2004

Expiration Date

November 30, 2021

Current Date / Time

November 6, 2025
10:38:17 PM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART #1588

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6934 Primary Status: Current

Address :
11896 AMARGOSA RD
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY