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Licensing details for: 6000

Name: SIDDIQUI, WASEEMUL HASAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: SIDDIQUI, WASEEMUL H

Address of Record

509 RUSH DRIVE %56
SAN MARCOS CA 92078
SAN DIEGO county
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Issuance Date

May 12, 2009

Expiration Date

January 31, 2019

Current Date / Time

November 5, 2025
6:6:7 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 5075

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6971 Primary Status: Current

Address :
3405 MARRON ROAD
OCEANSIDE CA 92056
SAN DIEGO COUNTY

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