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Licensing details for: 7998

Name: BENNETT, DEBRA MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

52 Calle De Felicidad
RANCHO SANTA MARGARITA CA 92688-2884
ORANGE county
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Issuance Date

April 11, 2014

Expiration Date

October 31, 2017

Current Date / Time

November 5, 2025
5:52:4 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 #2948

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6893 Primary Status: Current

Address :
13310 TELEGRAPH RD
SANTA FE SPRINGS CA 90670
LOS ANGELES COUNTY

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