California State Board of Optometry

Licensing details for: 8079

Name: MOORE, KIMBERLY ANN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1575 Majesty St
UPLAND CA 91784-9249
SAN BERNARDINO county
Map

Issuance Date

May 19, 2015

Expiration Date

September 30, 2020

Current Date / Time

November 6, 2025
4:9:45 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: 7322 Primary Status: Current

Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY