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Licensing details for: 2319

Name: PALENCIA, ANA GABRIELA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE county
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Issuance Date

August 29, 2013

Expiration Date

February 28, 2027

Current Date / Time

November 7, 2025
8:36:51 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 #2636

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6904 Primary Status: Current

Address :
8230 TALBERT AVE
HUNTINGTON BEACH CA 92646
ORANGE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: PALENCIA, ANA GABRIELA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40616 Primary Status: Current

Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: PALENCIA, ANA GABRIELA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40616 Primary Status: Current

Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY

Map

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