California State Board of Optometry
Licensing details for: 8257
Name: SANTOS, NICOLE DEBRA
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
2311 Old Harold Rd Apt B170
PALMDALE CA 93550-7520
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 #447
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6834 Primary Status: Current
Address :
18649 VIA PRINCESSA
SANTA CLARITA CA 91351
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANTOS, NICOLE DEBRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40695 Primary Status: Delinquent
Address :
2311 Old Harold Rd Unit B #170
PALMDALE CA 93550-7518
LOS ANGELES COUNTY



