California State Board of Optometry

Licensing details for: 1807

Name: BANUELOS, ANDREA M

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

22215 NORMA ST
PERRIS CA 92570
RIVERSIDE county
Map

Issuance Date

February 22, 2008

Expiration Date

May 31, 2011

Current Date / Time

November 7, 2025
4:27:54 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE # 1747

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6987 Primary Status: Current

Address :
1800 N PERRIS BLVD
PERRIS CA 92571-2701
RIVERSIDE COUNTY