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Licensing details for: 8112

Name: SMITH, ROMONA RENEE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

11625 Tina St
NORWALK CA 90650-1743
LOS ANGELES county
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Issuance Date

October 28, 2015

Expiration Date

March 31, 2017

Current Date / Time

November 5, 2025
5:46:37 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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