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Licensing details for: 1582

Name: PEREZ, ADRIAN JOSEPH

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2270 AVENIDA LA PAZ
CHINO HILLS CA 91709
SAN BERNARDINO county
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Issuance Date

July 5, 2006

Expiration Date

February 28, 2026

Current Date / Time

November 5, 2025
11:22:43 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 #4735

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6882 Primary Status: Current

Address :
1390 S BEACH BLVD
LA HABRA CA 90631
ORANGE 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 OPTICAL # 6616

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70594 Primary Status: Current

Address :
603 S Placentia Ave
FULLERTON CA 92831-5112
ORANGE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: PEREZ, ADRIAN JOSEPH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6530 Primary Status: Current

Address :
2270 AVENIDA LA PAZ
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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