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Licensing details for: 42399

Name: encarnacion, concepcion

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

7868 Mesa Rd
PHELAN CA 92371-6553
SAN BERNARDINO county
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Issuance Date

August 23, 2021

Expiration Date

August 31, 2027

Current Date / Time

April 3, 2026
10:01:59 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER #2288

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71339 Primary Status: Current

Address :
80 Rio Rancho Rd
POMONA CA 91766
LOS ANGELES COUNTY

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