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Licensing details for: 14672

Name: NGUYEN, ROSANNA T

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

2800 N Main Street
Suite 104
SANTA ANA CA 92705
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Issuance Date

May 18, 2023

Expiration Date

December 31, 2024

Current Date / Time

November 6, 2025
8:40:25 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: NGUYEN, ROSANNA T

License/Registration Type: Optometrist

License Number: 14398 Primary Status: Current

Address :
2800 N MAIN STREET #104
SANTA ANA CA 92705
ORANGE COUNTY

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