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Licensing details for: 6016

Name: NATIONAL VISION EYECARE CENTER #2077

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Previous Names: NATIONAL VISION ASSOC

Address of Record

31700 GRAPE ST
LAKE ELSINORE CA 92530
RIVERSIDE county
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Issuance Date

October 13, 1994

Expiration Date

October 31, 2006

Current Date / Time

April 5, 2026
1:38:26 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MOULTON, GREGORY PHILIP

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3711 Primary Status: Cancelled

Address :
29737 AVD DE REAL
SUN CITY CA 92586
RIVERSIDE COUNTY

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