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Licensing details for: 13332

Name: LIEN, TRINH NGOC

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

455 Stonewood St
DOWNEY CA 90241-3919
LOS ANGELES county
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Issuance Date

August 10, 2019

Expiration Date

August 31, 2023

Current Date / Time

November 6, 2025
12:26:3 PM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: LIEN, TRINH NGOC

License/Registration Type: Optometrist

License Number: 12608 Primary Status: Current

Address :
63 Lakewood Center Mall
LAKEWOOD CA 90712-2417
LOS ANGELES COUNTY

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