California State Board of Optometry
Licensing details for: 9039
Name: Skutley, Andrew David
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
4625 Redwood Dr
ROHNERT PARK CA 94928-7941
SONOMA 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 # 1755
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6988 Primary Status: Current
Address :
4625 REDWOOD DRIVE
ROHNERT PARK CA 94928
SONOMA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Skutley, Andrew David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43131 Primary Status: Current
Address :
70 W Thomson Ave
SONOMA CA 95476-4379
SONOMA COUNTY



