California State Board of Optometry
Licensing details for: 8809
Name: Miller, Destiny Ann
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
2211 E Poppy St
Apt 108
LONG BEACH CA 90805-3245
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 #777
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7127 Primary Status: Current
Address :
101 N BEACH BLVD
LA HABRA CA 90631
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Miller, Destiny Ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42742 Primary Status: Delinquent
Address :
2211 E Poppy St
Apt 108
LONG BEACH CA 90805-3245
LOS ANGELES COUNTY



