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Licensing details for: 1927

Name: MOGHANI, DARYOUSH

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

17816 KINZIE ST APT 110
NORTHRIDGE CA 91325
LOS ANGELES county
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Issuance Date

February 24, 2009

Expiration Date

July 31, 2014

Current Date / Time

November 7, 2025
8:47:38 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 VISION CENTER #4824

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7146 Primary Status: Current

Address :
26468 CARL BOYER DRIVE
SANTA CLARITA CA 91351
LOS ANGELES COUNTY

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