California State Board of Optometry
Licensing details for: 8783
Name: DE LA TORRE, ANGELICA HELENA
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
2408 Camino Garden Way
CARMICHAEL CA 95608-5105
SACRAMENTO 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 #771
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6933 Primary Status: Current
Address :
7000 AUBURN BLVD
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE LA TORRE, ANGELICA HELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42682 Primary Status: Delinquent
Address :
9009 Green River Way
ORANGEVALE CA 95662-4135
SACRAMENTO COUNTY



