California State Board of Optometry
Licensing details for: 8394
Name: Koepsell, Priscilla Kay
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Address of Record
7550 Desert Holly St.
921
CHINO CA 91708
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: 70894 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Koepsell, Priscilla Kay
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41356 Primary Status: Cancelled
Address :
7550 Desert Holly St
921
CHINO CA 91708-9380



