California State Board of Optometry
Licensing details for: 2093
Name: FORTIER, KATY LYNN
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled
Address of Record
1265 PACIFIC AVE APT 15
SANTA ROSA CA 95404
SONOMA 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 #659
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6867 Primary Status: Current
Address :
5901 REDWOOD DR
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: SAM'S CLUB 6620
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6980 Primary Status: Current
Address :
2495 IRON POINT RD #11
FOLSOM CA 95630
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: FORTIER, KATY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6320 Primary Status: Cancelled
Address :
1265 PACIFC AVE APT 15
SANTA ROSA CA 95404
SONOMA COUNTY
