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Licensing details for: 43771

Name: Gonzalez, Elena

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1732 E Cotati Ave
PENNGROVE CA 94951-9724
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Issuance Date

May 30, 2025

Expiration Date

May 31, 2027

Current Date / Time

November 6, 2025
4:19:21 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 STORE # 1755

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6988 Primary Status: Current

Address :
4625 REDWOOD DRIVE
ROHNERT PARK CA 94928
SONOMA COUNTY

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