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Licensing details for: 6876

Name: SAM'S CLUB #6612

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

1225 CONCORD AVE
CONCORD CA 94520
CONTRA COSTA county
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Issuance Date

December 31, 2002

Expiration Date

December 31, 2004

Current Date / Time

November 6, 2025
7:39:21 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LAVARIAS, ELAINE ANNETTE SABANGAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4565 Primary Status: Current

Address :
429 Gosser St
-
-
MILPITAS CA 95035-2640
SANTA CLARA COUNTY

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