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Licensing details for: 40542

Name: QUIOGUE, JEFFREY UDAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2706 Valleycreek Cir
CHULA VISTA CA 91914-4220
SAN DIEGO county
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Issuance Date

January 14, 2016

Expiration Date

April 30, 2019

Current Date / Time

November 7, 2025
4:1:34 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER #1917

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7097 Primary Status: Current

Address :
170 TOWN CENTER PARKWAY
SANTEE CA 92071
SAN DIEGO COUNTY

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