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Licensing details for: 8658

Name: Munoz, Eduardo Adolfo

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

111 N Sixth St
301
SPRINGFIELD IL 62701
SANGAMON county
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Issuance Date

May 11, 2021

Expiration Date

May 31, 2025

Current Date / Time

November 6, 2025
11:6:13 AM

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 #1805

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71337 Primary Status: Current

Address :
79295 Highway 111
LA QUINTA CA 92253-2060

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Munoz, Eduardo Adolfo

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41282 Primary Status: Current

Address :
33950 Pueblo Trl
CATHEDRAL CITY CA 92234-4554
RIVERSIDE COUNTY

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