California State Board of Optometry

Licensing details for: 2276

Name: GALLARDO, TINA MARIA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

5089 VIA BRENDA
LA PALMA CA 90623
ORANGE county
Map

Issuance Date

March 26, 2013

Expiration Date

June 30, 2018

Current Date / Time

November 6, 2025
7:23:50 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7368 Primary Status: Current

Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY