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Licensing details for: 42969

Name: Bolanos, Mel Brandon

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

722 N Edgemont St
LOS ANGELES CA 90029-2506
LOS ANGELES county
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Issuance Date

March 8, 2023

Expiration Date

March 31, 2027

Current Date / Time

April 4, 2026
12:52:14 AM

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 #3180

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70542 Primary Status: Current

Address :
4651 Firestone Blvd
SOUTH GATE CA 90280-3446
LOS ANGELES COUNTY

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