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Licensing details for: 13720

Name: BALDWIN, SUSAN MARY

License Type: Statement of Licensure

Primary Status: Current Primary Status Definition

Address of Record

7147 Greenback Ln
CITRUS HEIGHTS CA 95621-5526
SACRAMENTO county
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Issuance Date

October 20, 2020

Expiration Date

April 30, 2026

Current Date / Time

November 7, 2025
3:7:43 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: BALDWIN, SUSAN MARY

License/Registration Type: Optometrist

License Number: 11460 Primary Status: Current

Address :
430 Blue Ravine Rd
FOLSOM CA 95630-3402
SACRAMENTO COUNTY

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