California State Board of Optometry
Licensing details for: 1631
Name: MACTAGGART, LISA RAPHAELA
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
2809 E LOS ALTOS AVE
FRESNO CA 93710
FRESNO 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: WAL-MART #2985
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6903 Primary Status: Current
Address :
7065 N INGRAM AVE
FRESNO CA 93650
FRESNO COUNTY



