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Licensing details for: 42910

Name: HERNANDEZ, WILLIAM GEOVANY

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11861 Venetian Dr
MORENO VALLEY CA 92557-6518
RIVERSIDE county
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Issuance Date

December 28, 2022

Expiration Date

December 31, 2026

Current Date / Time

November 5, 2025
8:21:40 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 #5193

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7138 Primary Status: Current

Address :
12721 MORENO BEACH DR
MORENO VALLEY CA 92507
RIVERSIDE COUNTY

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