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Licensing details for: 13602

Name: CAMACHO, ORLANDO

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

12399 South Main Street
JC Penney Optical
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
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Issuance Date

June 4, 2020

Expiration Date

July 31, 2024

Current Date / Time

November 6, 2025
3:22:41 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: CAMACHO, ORLANDO

License/Registration Type: Optometrist

License Number: 9161 Primary Status: Current

Address :
2051 Galleria At Tyler
RIVERSIDE CA 92503-4143
RIVERSIDE COUNTY

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