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Licensing details for: 1684

Name: MEDINA, LUCIA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

309 EAST MILL AVE
PORTERVILLE CA 93257
TULARE county
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Issuance Date

March 23, 2007

Expiration Date

September 30, 2026

Current Date / Time

November 5, 2025
8:1:43 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WALMART SUPERCENTER #5154

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7214 Primary Status: Current

Address :
1827 WALNUT GROVE BLVD
ROSEMEAD CA 91770
LOS ANGELES COUNTY

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