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Licensing details for: 41802

Name: MALLIA, DIANNE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

404 Atkinson St
ROSEVILLE CA 95678-2107
PLACER county
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Issuance Date

October 10, 2019

Expiration Date

October 31, 2021

Current Date / Time

November 6, 2025
7:53:38 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: NATIONAL VISION EYECARE CENTER #1988

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5782 Primary Status: Cancelled

Address :
900 PLEASANT GROVE BLVD.
ROSEVILLE CA 95678
PLACER COUNTY

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