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Licensing details for: 4354

Name: FERNANDEZ, ELAINE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1129 W GREENHAVEN ST
COVINA CA 91722
LOS ANGELES county
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Issuance Date

February 5, 1999

Expiration Date

July 31, 2022

Current Date / Time

April 6, 2026
2:33:58 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: NATIONAL VISION EYECARE CENTER #2292

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6352 Primary Status: Cancelled

Address :
1275 N AZUSA AVE
COVINA CA 91722
LOS ANGELES COUNTY

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