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Licensing details for: 1191

Name: BUCHANAN, MYNNETTE MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: BUSELT, MYNNETTE M BUCHANAN, MYNNETTE M

Address of Record

7882 BEACHPOINTE CIR APT B7
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

July 29, 1997

Expiration Date

April 30, 2009

Current Date / Time

April 4, 2026
2:04:58 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: NATIONAL VISION EYECARE CENTER 2609

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6983 Primary Status: Cancelled

Address :
2770 CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY

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