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Licensing details for: 4972

Name: LE, NATHAN MINH

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2263 W VANCOUVER DR # 6
ANAHEIM CA 92804
ORANGE county
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Issuance Date

January 14, 2004

Expiration Date

November 30, 2005

Current Date / Time

April 3, 2026
9:20:48 PM

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 #2949

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6887 Primary Status: Cancelled

Address :
151 E 5TH ST
LONG BEACH CA 90802
LOS ANGELES COUNTY

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