California State Board of Optometry
Licensing details for: 696
Name: ARDON, JORGE A
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
18554 COLLINS ST #103-B
TARZANA CA 91356
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 #677
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6760 Primary Status: Current
Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARDON, JORGE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1932 Primary Status: Cancelled
Address :
18554 COLLINS ST. #103-B
TARZANA CA 91356
LOS ANGELES COUNTY



