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Licensing details for: 1580

Name: HERNANDEZ, ANA MARIA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1174 W ELEVENTH ST
POMONA CA 91766
LOS ANGELES county
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Issuance Date

July 5, 2006

Expiration Date

August 31, 2027

Current Date / Time

November 5, 2025
11:22:28 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6610

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6892 Primary Status: Current

Address :
3951 GRAND AVE
CHINO CA 91710
SAN BERNARDINO 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: SAM'S CLUB #4709

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6748 Primary Status: Current

Address :
1375 E Ontario Ave
CORONA CA 92881-6604
RIVERSIDE COUNTY

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