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Licensing details for: 2150

Name: HERNANDEZ, MIRIAN ELIZABETH

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

7757 Alder Ave
FONTANA CA 92336-2729
SAN BERNARDINO county
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Issuance Date

November 1, 2011

Expiration Date

August 31, 2021

Current Date / Time

November 6, 2025
12:12:0 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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