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Licensing details for: 13161

Name: SCAVO, NICKOLAS ANTHONY

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

LensCrafters at Macy's
21600 Hawthorne Blvd.
TORRANCE CA 90503
LOS ANGELES county
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Issuance Date

April 4, 2019

Expiration Date

November 30, 2022

Current Date / Time

November 6, 2025
3:35:45 PM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: SCAVO, NICKOLAS ANTHONY

License/Registration Type: Optometrist

License Number: 8023 Primary Status: Current

Address :
21540 Hawthorne Blvd Ste 539
c/o Lenscrafters - Del Amo Fashion Ctr
TORRANCE CA 90503-5740
LOS ANGELES COUNTY

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