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Licensing details for: 1763

Name: LUPIAN, SHELLY LYNN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

3142 Cedar St
RIVERSIDE CA 92501-2332
RIVERSIDE county
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Issuance Date

August 29, 2007

Expiration Date

February 28, 2013

Current Date / Time

November 6, 2025
12:12:1 AM

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 STORE #1693

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6958 Primary Status: Current

Address :
2050 WEST REDLANDS BLVD
REDLANDS CA 92374
SAN BERNARDINO COUNTY

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