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Licensing details for: 40808

Name: LAREZA, DALISAY BAIS

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

6722 Rolando Knolls Dr
LA MESA CA 91942-5819
SAN DIEGO county
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Issuance Date

December 30, 2016

Expiration Date

April 30, 2026

Current Date / Time

November 5, 2025
3:51:44 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 5140

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6977 Primary Status: Current

Address :
5500 GROSSMONT CENTER DRIVE
LA MESA CA 91942
SAN DIEGO COUNTY

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