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Licensing details for: 42181

Name: Bautista, Paula Ricaestela

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11622 Aviation Blvd
Apt 540
INGLEWOOD CA 90304-1061
LOS ANGELES county
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Issuance Date

October 1, 2020

Expiration Date

October 31, 2026

Current Date / Time

November 6, 2025
5:1:21 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #115

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3742 Primary Status: Current

Address :
53 COLMA BLVD F-2
COLMA CA 94014
SAN MATEO COUNTY

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