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Licensing details for: 13261

Name: LAM, JASON

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Previous Names: LAM, JEANSON RICHARD

Address of Record

1 Mills Circle
Suite 516
ONTARIO CA 91764
SAN BERNARDINO county
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Issuance Date

June 28, 2007

Expiration Date

October 31, 2027

Current Date / Time

November 6, 2025
7:27:8 AM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: LAM OPTOMETRIC GROUP

License/Registration Type: Fictitious Name Permit

License Number: 7245 Primary Status: Current

Address :
1 Mills circle
suite 516
ONTARIO CA 91764-5207
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: LENSCRAFTERS INC #895

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6230 Primary Status: Current

Address :
ONE MILLS CIRCLE STE 516
ONTARIO CA 91764
SAN BERNARDINO COUNTY

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