California State Board of Optometry
Licensing details for: 1585
Name: SORENSON, DAVID K
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Previous Names: SORENSON, DAVID KEITH
Address of Record
COSTCO OPTICAL DEPT
1335 S BRADLEY ST
SANTA MARIA CA 93454
SANTA BARBARA 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: COSTCO WHOLESALE #1275
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5892 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: SORENSON, DAVID K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1483 Primary Status: Cancelled
Address :
COSTCO OPTICAL DEPT
1335 S BRADLEY RD
SANTA MARIA CA 93454
SANTA BARBARA COUNTY



