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Licensing details for: 6423

Name: MUNOZ, MELISSA LYNN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

223 LA BOCA ROAD
SAN JACINTO CA 92582
RIVERSIDE county
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Issuance Date

May 17, 2011

Expiration Date

July 31, 2018

Current Date / Time

November 6, 2025
12:8:9 AM

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 #1693

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6958 Primary Status: Current

Address :
2050 WEST REDLANDS BLVD
REDLANDS CA 92374
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: MUNOZ, MELISSA LYNN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2128 Primary Status: Cancelled

Address :
223 LA BOCA ROAD
SAN JACINTO CA 92582
RIVERSIDE COUNTY

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