California State Board of Optometry
Licensing details for: 1822
Name: BURKS, STACINA MAXINE
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled
Address of Record
1601 WINTERGREEN LN UNIT D
CORONA CA 92879
RIVERSIDE 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 #678
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6856 Primary Status: Current
Address :
11800 4TH STREET
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
