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Licensing details for: 40876

Name: MALDONADO, CRYSTAL LORRAINE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

52370 Date Ave
CABAZON CA 92230-5235
RIVERSIDE county
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Issuance Date

April 4, 2017

Expiration Date

March 31, 2019

Current Date / Time

November 7, 2025
4:48:19 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 # 1832

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7059 Primary Status: Current

Address :
5601 E RAMON RD
PALM SPRINGS CA 92262
RIVERSIDE COUNTY

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