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Licensing details for: 2166

Name: NEJATI, AZADEH

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4566 FELLOWS ST
UNION CITY CA 94587
ALAMEDA county
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Issuance Date

January 25, 2012

Expiration Date

March 31, 2015

Current Date / Time

November 5, 2025
3:20:32 PM

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 # 5435

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7016 Primary Status: Current

Address :
777 STORY RD
SAN JOSE CA 95122
SANTA CLARA COUNTY

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