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Licensing details for: 6953

Name: BUENAVENTURA OPTOMETRY

License Type: Fictitious Name Permit

Primary Status: Delinquent Primary Status Definition

Previous Names: Glenn Kawaguchi, O.D.

Address of Record

3301 E. Main Street
Suite 1006
VENTURA CA 93003
VENTURA county
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Issuance Date

November 18, 2016

Expiration Date

January 31, 2025

Current Date / Time

November 5, 2025
6:50:32 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Fictitious Name Permit

Related Party Role: Optometrist

Name: KAWAGUCHI, GLENN KEVIN O.D.

License/Registration Type: Optometrist

License Number: 9986 Primary Status: Current

Address :
3855 State St
SANTA BARBARA CA 93105-3152
SANTA BARBARA COUNTY

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