California State Board of Optometry
Licensing details for: 2072
Name: FOWLER, SHANNON MARIE
License Type: Registered Contact Lens Dispenser
Primary Status: Current
Previous Names: FOWLER, SHARRON MARIE ❖ MARIE, SHARRON MARIE
Address of Record
19584 N Elm St
LOCKEFORD CA 95237-8802
SAN JOAQUIN 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 VISION CENTER #3352
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7649 Primary Status: Current
Address :
10355 TRINITY PKWY
STOCKTON CA 95219
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART VISION CENTER #2697
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71359 Primary Status: Current
Address :
4893 Lone Tree Way
ANTIOCH CA 94531-8553
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: FOWLER, SHANNON MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6357 Primary Status: Current
Address :
19584 N Elm St
LOCKEFORD CA 95237-8802
SAN JOAQUIN COUNTY
