California State Board of Optometry
Licensing details for: 8869
Name: Joe, Derricka Angela Lil
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
43621 Pacific Commons Blvd
FREMONT CA 94538-3809
ALAMEDA 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 #471
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6843 Primary Status: Current
Address :
1600 EXPO PKWY
SACRAMENTO CA 95815
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Joe, Derricka Angela Lil
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42552 Primary Status: Current
Address :
43621 Pacific Commons Blvd
FREMONT CA 94538
ALAMEDA COUNTY



