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Licensing details for: 8038

Name: GONZALES, RYAN RENEE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

12912 Shackelford Ln Apt 2
GARDEN GROVE CA 92841-5127
ORANGE county
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Issuance Date

October 14, 2014

Expiration Date

September 30, 2016

Current Date / Time

November 6, 2025
12:41:18 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #4735

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6882 Primary Status: Current

Address :
1390 S BEACH BLVD
LA HABRA CA 90631
ORANGE COUNTY

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