California State Board of Optometry
Licensing details for: 1502
Name: SISK, GREGORY ALLEN
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent
Previous Names: SISK, GREGORY A
Address of Record
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN 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: WALMART VISION CENTER 5426
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7215 Primary Status: Cancelled
Address :
40580 ALBRAE ST
FREMONT CA 94538-2448
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART # 1789
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7051 Primary Status: Cancelled
Address :
2350 W KETTLEMAN LANE
LODI CA 95242
SAN JOAQUIN COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: SISK, GREGORY ALLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5330 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN COUNTY
