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Licensing details for: 13136

Name: SUNGULYAN, AYKANUSH

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPLPrimary Status Definition

Address of Record

4518 VAN NUYS BLVD
SHERMAN OAKS CA 91403
LOS ANGELES county
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Issuance Date

August 8, 2006

Expiration Date

August 31, 2027

Current Date / Time

November 6, 2025
8:50:35 PM

License Relationships

Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #108

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3676 Primary Status: Current

Address :
4518 VAN NUYS BLVD
SHERMAN OAKS CA 91403
LOS ANGELES COUNTY

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: SUNGULYAN, AYKANUSH

License/Registration Type: Statement of Licensure

License Number: 13023 Primary Status: Delinquent

Address :
14000 Riverside Dr
SHERMAN OAKS CA 91423-1918

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: SUNGULYAN, AYKANUSH

License/Registration Type: Statement of Licensure

License Number: 15805 Primary Status: Current

Address :
4842 Van Nuys Blvd
SHERMAN OAKS CA 91403-2101

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