California State Board of Optometry
Licensing details for: 8002
Name: PERERA, SAMANTHA MARIE
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
2 Frontier Rd
POMONA CA 91766-4861
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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7322 Primary Status: Current
Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY



