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Licensing details for: 13222

Name: THI, TRACY L

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPLPrimary Status Definition

Previous Names: THI, LIEN MY

Address of Record

27818 CLINTON KEITH RD
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

February 15, 2007

Expiration Date

November 30, 2025

Current Date / Time

November 6, 2025
3:43:39 AM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: EXCEL FAMILY OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 7345 Primary Status: Current

Address :
15855 Soquel Canyon Pkwy Ste 120
CHINO HILLS CA 91709-7866
SAN BERNARDINO COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #316

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7505 Primary Status: Current

Address :
27818 CLINTON KEITH ROAD
MURRIETA CA 92562
RIVERSIDE COUNTY

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