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Licensing details for: 35051

Name: Baek, Jennifer

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Address of Record

301 S Western Ave
Ste 103
LOS ANGELES CA 90020-3831
LOS ANGELES county

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Issuance Date

October 18, 2021

Expiration Date

October 31, 2025

Current Date / Time

July 7, 2024
2:19:9 AM

License Relationships

OPT/RDO Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: EYENOON OPTICAL

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71134 Primary Status: Current

Address :
301 S Western Ave Ste 103
LOS ANGELES CA 90020-3816
LOS ANGELES COUNTY

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: Baek, Jennifer

License/Registration Type: Statement of Licensure

License Number: 14876 Primary Status: Current

Address :
301 S Western Ave
STE 103
LOS ANGELES CA 90020-3831

Map

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