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Licensing details for: 4964

Name: CARRILLO, NELSON

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11857 Jefferson Blvd
Apt # 6
CULVER CITY CA 90230-6378
LOS ANGELES county
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Issuance Date

January 8, 2004

Expiration Date

April 30, 2027

Current Date / Time

April 3, 2026
4:49:19 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #218

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3845 Primary Status: Current

Address :
6000 Sepulveda Blvd
CULVER CITY CA 90230-6421
LOS ANGELES COUNTY

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