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Licensing details for: 1355

Name: GUPTA, VEENA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2290 ARDEMORE DR
FULLERTON CA 92833
ORANGE county
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Issuance Date

March 22, 2004

Expiration Date

November 30, 2007

Current Date / Time

November 5, 2025
1:30:48 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE #2949

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6887 Primary Status: Cancelled

Address :
151 E 5TH ST
LONG BEACH CA 90802
LOS ANGELES COUNTY

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