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Licensing details for: 6636

Name: BLANCO, JOSE DAVID

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1781 MAIN ST
P O BOX 415
SEELEY CA 92273
IMPERIAL county
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Issuance Date

July 2, 2012

Expiration Date

September 30, 2021

Current Date / Time

November 5, 2025
1:4:20 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 #1555

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6937 Primary Status: Current

Address :
2150 N WATERMAN AVE
EL CENTRO CA 92243
IMPERIAL COUNTY

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