Kelly Wayne Jackson
ActiveCalifornia license 42495
License
- Licensed by
- California State Board of Optometry
- License number
- 42495
- Status
- Active (Current)
- First issued
- November 22, 2021
- Expires
- November 30, 2027
- License holder
- Kelly Wayne Jackson
- Entity type
- Individual
Classifications
- Registered Spectacle Lens Dispenser Vision & Hearing
More from the license record
- License type code
- 4206
Contact
2044 Forest Ave
Chico, CA 95928-7619
Chico, CA 95928-7619
Butte County