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Licensing details for: 71160

Name: SuperVista North America

Doing Business As: Brillen

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Delinquent Primary Status Definition

Address of Record

24012 Avenida De La Carlota
Suite G
LAGUNA HILLS CA 92653-3100
ORANGE county
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Issuance Date

September 29, 2021

Expiration Date

September 30, 2023

Current Date / Time

November 5, 2025
2:51:41 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Zakeri, Kourosh

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41474 Primary Status: Delinquent

Address :
16 Technology Dr
Suite 130
IRVINE CA 92618-2355
ORANGE COUNTY

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