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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

April 4, 2026
8:23:38 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 # 5032

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7017 Primary Status: Current

Address :
8450 LA PALMA AVE
BUENA PARK CA 90620
ORANGE COUNTY

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