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Licensing details for: 1519

Name: BAILEN, LISA MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

3044 SAN MATEO WAY
UNION CITY CA 94587
ALAMEDA county
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Issuance Date

October 21, 2005

Expiration Date

May 31, 2027

Current Date / Time

November 5, 2025
11:37:25 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: NATIONAL VISION EYECARE CENTER #2031

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5835 Primary Status: Cancelled

Address :
30600 DYER ST
UNION CITY CA 94587
ALAMEDA COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER 2119

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7221 Primary Status: Current

Address :
301 RANCH DRIVE
MILPITAS CA 95035
SANTA CLARA COUNTY

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