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Licensing details for: 4907

Name: ESCOBAR, NELSON RAFAEL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

16208 MOORS LANE
FONTANA CA 92336
SAN BERNARDINO county
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Issuance Date

October 2, 2003

Expiration Date

August 30, 2013

Current Date / Time

November 6, 2025
1:38:57 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 #1992

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5783 Primary Status: Cancelled

Address :
1540 W. FOOTHILL BLVD
UPLAND CA 91786
SAN BERNARDINO COUNTY

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