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Licensing details for: 4504

Name: SHAFFER, ROVENA R

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

14303 EAST 51ST STREET
YUMA AZ 85367
YUMA county
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Issuance Date

August 17, 2000

Expiration Date

March 31, 2008

Current Date / Time

April 3, 2026
5:06:10 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: J C PENNEY OPTICAL #1110

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6226 Primary Status: Cancelled

Address :
290 E VIA RANCHO PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY

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