California State Board of Optometry
Licensing details for: 2295
Name: KIRKWOOD, KATIE LEIGH
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
LOS ANGELES 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 #479
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6455 Primary Status: Current
Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1110
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7623 Primary Status: Current
Address :
7562 CENTER AVE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY



