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California license 71176

License

Licensed by
California State Board of Optometry
License number
71176
Status
Active (Current)
First issued
December 13, 2021
Expires
December 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
4205

Contact

660 Baker St Ste B102
Costa Mesa, CA 92626-4407
Orange County