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Licensing details for: 1592

Name: LY, KIM BA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3573 WHISTLER AVE
EL MONTE CA 91732
LOS ANGELES county
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Issuance Date

July 18, 2006

Expiration Date

October 31, 2013

Current Date / Time

November 5, 2025
5:52:5 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 3522

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6972 Primary Status: Current

Address :
3250 BIG DALTON AVENUE
BALDWIN PARK CA 91706
LOS ANGELES COUNTY

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