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Licensing details for: 33430

Name: Koo, Anita Karmen

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Address of Record

1520 E Plaza Blvd
NATIONAL CITY CA 91950-3616
SAN DIEGO county
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Issuance Date

June 28, 2016

Expiration Date

November 30, 2026

Current Date / Time

November 6, 2025
8:55:51 PM

License Relationships

Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #5232

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7587 Primary Status: Current

Address :
2015 BIRCH ROAD STE 1019
CHULA VISTA CA 91915
SAN DIEGO COUNTY

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