California State Board of Optometry
Licensing details for: 2113
Name: ELISSONDO, KRISTEN MARIE
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled
Previous Names: ROTH, KRISTEN MARIE ❖ Elissondo, KRISTEN MARIE
Address of Record
2555 Tachevah Dr
SANTA ROSA CA 95405-8074
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: NATIONAL VISION EYECARE CENTER #2546
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6377 Primary Status: Cancelled
Address :
2300 N TUSTIN ST
ORANGE CA 92865
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: ELISSONDO, KRISTEN MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6377 Primary Status: Cancelled
Address :
2555 Tachevah Dr
SANTA ROSA CA 95405-8074
SONOMA COUNTY
