California State Board of Optometry
Licensing details for: 8299
Name: SULLIVAN, SUSAN ANN
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Previous Names: SULLIVAN, SUSAN A
Address of Record
17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO 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: WAL-MART STORE # 1700
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7024 Primary Status: Current
Address :
13425 COMMUNITY RD
POWAY CA 92064
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: SULLIVAN, SUSAN ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40830 Primary Status: Current
Address :
17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO COUNTY



