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Licensing details for: 5247

Name: KEITH, DAVID EUGENE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3524 E AVE R SPACE 1
PALMDALE CA 93550
LOS ANGELES county
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Issuance Date

April 4, 2005

Expiration Date

April 30, 2013

Current Date / Time

November 5, 2025
6:20:43 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 #2950

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6889 Primary Status: Current

Address :
37140 47TH ST EAST
PALMDALE CA 93552
LOS ANGELES COUNTY

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