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Licensing details for: 40550

Name: DE LA TORRE, LISA LYNELL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

28362 Sycamore Dr
HIGHLAND CA 92346-3884
SAN BERNARDINO county
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Issuance Date

February 4, 2016

Expiration Date

July 31, 2019

Current Date / Time

November 6, 2025
2:36:12 AM

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 # 1914

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7082 Primary Status: Current

Address :
4210 E HIGHLAND AVE
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

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