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Licensing details for: 8082

Name: HAITZ, DAVID JOHN

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPGPrimary Status Definition

Address of Record

4253 Iroquois Ave
LAKEWOOD CA 90713-3211
LOS ANGELES county
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Issuance Date

February 3, 1984

Expiration Date

February 29, 2028

Current Date / Time

April 4, 2026
12:55:22 PM

License Relationships

Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS, INC. #5784

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7392 Primary Status: Current

Address :
72-393 HIGHWAY 111 #A
PALM DESERT CA 92260
RIVERSIDE COUNTY

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