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Licensing details for: 1375

Name: EVANS-CRAIG, MARY L

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

750 GAVIOTA AVE # 2
LONG BEACH CA 90813
LOS ANGELES county
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Issuance Date

June 7, 2004

Expiration Date

October 31, 2013

Current Date / Time

November 5, 2025
6:23:14 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 #2950

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6889 Primary Status: Current

Address :
37140 47TH ST EAST
PALMDALE CA 93552
LOS ANGELES COUNTY

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