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Licensing details for: 1377

Name: VARTANYAN, GOR

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

9537 VIA VENEZIA
BURBANK CA 91504
LOS ANGELES county
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Issuance Date

June 22, 2004

Expiration Date

October 31, 2005

Current Date / Time

November 5, 2025
5:6:44 AM

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 #2960

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6886 Primary Status: Cancelled

Address :
4101 S CRENSHAW
LOS ANGELES CA 90008
LOS ANGELES COUNTY

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