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Licensing details for: 9263

Name: Ortiz, Kiara TATIANA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

15500 Mesquite Ave
VICTORVILLE CA 92394
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Issuance Date

May 5, 2025

Expiration Date

May 31, 2027

Current Date / Time

November 6, 2025
10:36:51 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 #1588

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6934 Primary Status: Current

Address :
11896 AMARGOSA RD
VICTORVILLE CA 92395
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: Ortiz, Kiara TATIANA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43653 Primary Status: Current

Address :
15500 Mesquite Ave
VICTORVILLE CA 92394-5517

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