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Licensing details for: 40457

Name: GUTIERREZ, KATHERINE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

8429 63rd St
RIVERSIDE CA 92509-6006
RIVERSIDE county
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Issuance Date

October 27, 2015

Expiration Date

August 31, 2019

Current Date / Time

November 6, 2025
2:35:51 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6610

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6892 Primary Status: Current

Address :
3951 GRAND AVE
CHINO CA 91710
SAN BERNARDINO COUNTY

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