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Licensing details for: 6559

Name: SHACKLEFORD, KARISSA MARJORIE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

APT 419
4077 GLENCOE AVE
MARINA DEL REY CA 90292
LOS ANGELES county
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Issuance Date

February 23, 2012

Expiration Date

June 30, 2013

Current Date / Time

November 5, 2025
10:9:4 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #1956

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7487 Primary Status: Current

Address :
3535 S LA CIENGA BLVD
LOS ANGELES CA 90016
LOS ANGELES COUNTY

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