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Licensing details for: 40937

Name: Villegas, ELIZABETH MARIE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Previous Names: HERNANDEZ - FLORES, ELIZABETH MARIE HERNANDEZ - FLORES, ELIZABETH MRAIE

Address of Record

991 W Blaine St
Apt 107
RIVERSIDE CA 92507-3731
RIVERSIDE county
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Issuance Date

June 25, 2017

Expiration Date

April 30, 2023

Current Date / Time

November 5, 2025
9:35:7 PM

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 #6378

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6880 Primary Status: Current

Address :
6363 VALLEY SPRINGS PKWY
RIVERSIDE CA 92507
RIVERSIDE COUNTY

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