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Licensing details for: 8207

Name: EVANS, ISAYIAH Antonio

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: EVANS, ISAYIAH EVANS

Address of Record

12744 Heron Ct
VICTORVILLE CA 92392-8074
SAN BERNARDINO county
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Issuance Date

January 25, 2017

Expiration Date

May 31, 2022

Current Date / Time

November 5, 2025
5:28:36 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 2077

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7222 Primary Status: Current

Address :
29260 Central Avenue
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY

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