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Licensing details for: 6879

Name: SAM'S CLUB #4704

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

7663 NO. BLACKSTONE AVE
FRESNO CA 93720
FRESNO county
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Issuance Date

December 31, 2002

Expiration Date

December 31, 2026

Current Date / Time

November 5, 2025
8:58:26 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: Hanks, Riley

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9125 Primary Status: Current

Address :
6166 E Townsend Ave
FRESNO CA 93727-5619

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: SAPP, BILL JOE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1388 Primary Status: Cancelled

Address :
7090 N FRUIT AVE # 151
FRESNO CA 93711
FRESNO COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: SPONHOLZ, RICHARD JOSEPH

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1922 Primary Status: Cancelled

Address :
5626 N LOLA AVE
FRESNO CA 93722
FRESNO COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: LANDERS, SARA E

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1488 Primary Status: Cancelled

Address :
7663 N Blackstone Ave
FRESNO CA 93720-4306
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SAPP, BILL JOE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5095 Primary Status: Cancelled

Address :
7090 N FRUIT AVE # 151
FRESNO CA 93711
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LANDERS, SARA E

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4897 Primary Status: Cancelled

Address :
7663 N Blackstone Ave
FRESNO CA 93720-4306
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MARION, NICOLE DANIELLE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40767 Primary Status: Current

Address :
6300 N. PALM AVE
Unit 114
FRESNO CA 93704-3947
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Renteria, Sonia

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43171 Primary Status: Current

Address :
6415 N Remington Ave Apt 101
FRESNO CA 93704-1173
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SARRETT, MICHAEL I

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4308 Primary Status: Cancelled

Address :
235 W. LEXINGTON AVE #203
FRESNO CA 93711
FRESNO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SIFUENTES, ANGELA RUSSELL SCOTT

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40662 Primary Status: Cancelled

Address :
41145 Long Hollow Dr
COARSEGOLD CA 93614-9143
MADERA COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HARRIS, TIMOTHY JAMES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5353 Primary Status: Delinquent

Address :
4669 E PRINCETON AVE
FRESNO CA 93703
FRESNO COUNTY

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