California State Board of Optometry

Licensing details for: 2003

Name: GRIJALVA, MANDY MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2416 S ALMA STREET
SAN PEDRO CA 90731
LOS ANGELES county
Map

Issuance Date

November 4, 2009

Expiration Date

March 31, 2013

Current Date / Time

November 6, 2025
10:2:10 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE # 671

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3998 Primary Status: Current

Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY