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Licensing details for: 40959

Name: BAUTISTA, VANESSA JOY UGABAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

165 Monroe St Apt 16
SANTA CLARA CA 95050-5851
SANTA CLARA county
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Issuance Date

July 24, 2017

Expiration Date

January 31, 2021

Current Date / Time

November 6, 2025
4:14:13 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #206

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3773 Primary Status: Current

Address :
2855 STEVENS CREEK BLVD
SANTA CLARA CA 95050
SANTA CLARA COUNTY

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