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Licensing details for: 9986

Name: KAWAGUCHI, GLENN KEVIN O.D.

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Previous Names: KAWAGUCHI, GLENN KEVIN

Address of Record

3855 State St
SANTA BARBARA CA 93105-3152
SANTA BARBARA county
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Issuance Date

September 11, 1992

Expiration Date

April 30, 2026

Current Date / Time

November 5, 2025
5:39:26 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: BUENAVENTURA OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 6953 Primary Status: Delinquent

Address :
3301 E. Main Street
Suite 1006
VENTURA CA 93003
VENTURA COUNTY

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Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: BUENAVENTURA OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 7208 Primary Status: Delinquent

Address :
3855 State St
SANTA BARBARA CA 93105
SANTA BARBARA COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #378

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 4275 Primary Status: Current

Address :
3301 E. Main St Ste 1006
VENTURA CA 93003
VENTURA COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #493

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 4472 Primary Status: Current

Address :
3855 STATE STREET #K-1
SANTA BARBARA CA 93105
SANTA BARBARA COUNTY

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: KAWAGUCHI, GLENN KEVIN O.D.

License/Registration Type: Statement of Licensure

License Number: 13204 Primary Status: Delinquent

Address :
3855 State St
SANTA BARBARA CA 93105-3152
SANTA BARBARA COUNTY

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