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Licensing details for: 8040

Name: SEGURA, ANDREA MARIBEL

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2001 W Garvey Ave N Apt 10
WEST COVINA CA 91790-2077
LOS ANGELES county
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Issuance Date

October 15, 2014

Expiration Date

August 31, 2026

Current Date / Time

November 5, 2025
5:48:21 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 3522

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6972 Primary Status: Current

Address :
3250 BIG DALTON AVENUE
BALDWIN PARK CA 91706
LOS ANGELES COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER #2401

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71355 Primary Status: Current

Address :
1600 Mountain Ave
DUARTE CA 91010-2757

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