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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

5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE county
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Issuance Date

August 29, 2013

Expiration Date

February 28, 2027

Current Date / Time

April 6, 2026
2:24:16 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WALMART #3129

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71465 Primary Status: Current

Address :
14100 Limonite Ave
EASTVALE CA 92880-3855
RIVERSIDE 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 :
5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE 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 :
5058 Rose Ave
RIVERSIDE CA 92505-2642
RIVERSIDE COUNTY

Map

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