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Licensing details for: 42328

Name: torres, malia

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

630 Providence Pkwy
Apt 1103
MOUNT JULIET TN 37122
WILSON county
Map

Issuance Date

June 1, 2021

Expiration Date

June 30, 2027

Current Date / Time

April 4, 2026
12:53:00 AM

License Relationships

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: torres, malia

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8934 Primary Status: Current

Address :
630 Providence Pkwy
Apt 1103
MOUNT JULIET TN 37122
WILSON COUNTY

Map

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