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Licensing details for: 8204

Name: CARRILLO, VERONICA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

17082 Dolphin St
FONTANA CA 92336-3249
SAN BERNARDINO county
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Issuance Date

January 4, 2017

Expiration Date

June 30, 2022

Current Date / Time

November 5, 2025
1:51:28 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 VISION CENTER # 3796

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7699 Primary Status: Current

Address :
1333 N MOUNTAIN AVENUE
ONTARIO CA 91762
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: CARRILLO, VERONICA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40443 Primary Status: Cancelled

Address :
17082 Dolphin St
FONTANA CA 92336-3249
SAN BERNARDINO COUNTY

Map

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