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Licensing details for: 1391

Name: CASTILLO, RENAN MARASIGAN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

7934 Azalea Dr
BUENA PARK CA 90620-1920
ORANGE county
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Issuance Date

July 29, 2004

Expiration Date

July 31, 2026

Current Date / Time

November 7, 2025
5:0:25 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 #2636

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6904 Primary Status: Current

Address :
8230 TALBERT AVE
HUNTINGTON BEACH CA 92646
ORANGE COUNTY

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