California State Board of Optometry
Licensing details for: 562
Name: OBENA, ELENITA M
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE 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 #686
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6755 Primary Status: Current
Address :
9404 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: OBENA, ELENITA M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 535 Primary Status: Cancelled
Address :
6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE COUNTY



