California State Board of Optometry
Licensing details for: 1602
Name: ANDERSON, WYLMARYE
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
662 ROYCE ST
ALTADENA CA 91001
LOS ANGELES 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 #428
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6816 Primary Status: Current
Address :
2207 W COMMONWEALTH
ALHAMBRA CA 91803
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANDERSON, WYLMARYE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5492 Primary Status: Delinquent
Address :
662 ROYCE ST
ALTADENA CA 91001
LOS ANGELES COUNTY



