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Licensing details for: 14856

Name: Nguyen, Vi

License Type: Statement of Licensure

Primary Status: Current Primary Status Definition

Address of Record

72840 Highway 111
F201
PALM DESERT CA 92260-3324
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Issuance Date

October 31, 2023

Expiration Date

September 30, 2026

Current Date / Time

November 6, 2025
12:46:35 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: Nguyen, Vi

License/Registration Type: Optometrist

License Number: 33407 Primary Status: Current

Address :
44100 Jefferson St
E507
INDIO CA 92201-9014
RIVERSIDE COUNTY

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