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Licensing details for: 6977

Name: WAL-MART 5140

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

5500 GROSSMONT CENTER DRIVE
LA MESA CA 91942
SAN DIEGO county
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Issuance Date

April 19, 2004

Expiration Date

April 30, 2028

Current Date / Time

April 6, 2026
2:24:06 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Trujillo Lopez, Celia Angelica

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43933 Primary Status: Current

Address :
3557 Kenora Dr Unit 1
SPRING VALLEY CA 91977-2917
SAN DIEGO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MORALES, VICTORIA LAURA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6871 Primary Status: Current

Address :
8793 Wahl St
SANTEE CA 92071-3352
SAN DIEGO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LAREZA, DALISAY BAIS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40808 Primary Status: Current

Address :
6722 Rolando Knolls Dr
LA MESA CA 91942-5819
SAN DIEGO COUNTY

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