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Licensing details for: 5130

Name: BROWN, SUSAN JANELLE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1750 ARNOLD WAY # 86
ALPINE CA 91901
SAN DIEGO county
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Issuance Date

September 9, 2004

Expiration Date

June 30, 2014

Current Date / Time

November 6, 2025
12:6:14 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 #2253

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6197 Primary Status: Cancelled

Address :
13487 CAMINO CANADA
EL CAJON CA 92021
SAN DIEGO COUNTY

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