California State Board of Optometry
Licensing details for: 2096
Name: ORTIZ, STACY ANN
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled
Address of Record
3019 SHADID DR
COLTON CA 92324-9759
SAN BERNARDINO 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 #5193
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7138 Primary Status: Current
Address :
12721 MORENO BEACH DR
MORENO VALLEY CA 92507
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: ORTIZ, STACY ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6338 Primary Status: Cancelled
Address :
3019 SHADID DR
COLTON CA 92324-9759
SAN BERNARDINO COUNTY
