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Licensing details for: 1747

Name: FULINARA, VANESSA MONTEFALCON

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

42740 JACQUELINE CIR
PALM DESERT CA 92260
RIVERSIDE county
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Issuance Date

July 26, 2007

Expiration Date

December 31, 2018

Current Date / Time

November 6, 2025
1:13:52 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAMS CLUB 6609

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7207 Primary Status: Current

Address :
34220 MONTEREY AVE
PALM DESERT CA 92260
RIVERSIDE COUNTY

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