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Licensing details for: 6938

Name: SAM'S CLUB #4799

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

7147 GREENBACK LANE
CITRUS HEIGHTS CA 95621
SACRAMENTO county
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Issuance Date

October 2, 2003

Expiration Date

October 31, 2027

Current Date / Time

November 5, 2025
7:40:26 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: YOUNG, JENNIFER LYNN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1895 Primary Status: Cancelled

Address :
2413 POST OAK LANE
SACRAMENTO CA 95825
SACRAMENTO 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: DEVILLE, TAMMY TONETTE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1948 Primary Status: Cancelled

Address :
5721 SHADOW CREEK DRIVE
SACRAMENTO CA 95821
SACRAMENTO 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: MILLER, KAYE ANN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1557 Primary Status: Cancelled

Address :
5920 FAIRBAIRN DR
NORTH HIGHLANDS CA 95660
SACRAMENTO 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: CHAMPLAIN, JAMES RUSSELL

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1370 Primary Status: Cancelled

Address :
7123 PARISH WAY
CITRUS HEIGHTS CA 95621
SACRAMENTO 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: MELNYCHUK, ZHANNA LEONTIIVNA

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1849 Primary Status: Current

Address :
7141 Minoress Way
SACRAMENTO CA 95842-1729
SACRAMENTO 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: LYON, NOEL ANN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1383 Primary Status: Cancelled

Address :
7969 QUAKER RUDGE WAY
SACRAMENTO CA 95829
SACRAMENTO 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: RILEY, RAMONA BURTON

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2223 Primary Status: Cancelled

Address :
P O BOX 812
PENRYN CA 95663
PLACER 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: BRAZEAL, HONEY SINDA-RAY

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1622 Primary Status: Cancelled

Address :
6332 TWIN WOOD WAY
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

Map

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: MONTOYA, LYUDMILA CHECHELNITSKAYA

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8058 Primary Status: Current

Address :
6016 Sunrise Vista Dr
Apt 121
CITRUS HEIGHTS CA 95610-7056
SACRAMENTO 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: JOHNSTON, JOHN IVAN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1656 Primary Status: Cancelled

Address :
4903 EARLCORT CIRCLE
SACRAMENTO CA 95842
SACRAMENTO 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: SANDOVAL, KAREN SUE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1088 Primary Status: Delinquent

Address :
15814 Cobalt St
SYLMAR CA 91342-3506
VENTURA 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: MESSICK, KAREN DIANE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1415 Primary Status: Cancelled

Address :
863 Kelli Dr
YUBA CITY CA 95991-6162
SUTTER 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: WEBBER, AMBER LYNNE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1657 Primary Status: Cancelled

Address :
7145 GREENBACK LANE
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: YOUNG, JENNIFER LYNN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5901 Primary Status: Cancelled

Address :
2416 POST OAK LANE
SACRAMENTO CA 95825
SACRAMENTO 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: RILEY, RAMONA BURTON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6650 Primary Status: Cancelled

Address :
P O BOX 812
PENRYN CA 95663
PLACER COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MESSICK, KAREN DIANE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5139 Primary Status: Cancelled

Address :
863 Kelli Dr
YUBA CITY CA 95991-6162
SUTTER COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LYON, NOEL ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5121 Primary Status: Cancelled

Address :
7969 QUAKER RIDGE WAY
SACRAMENTO CA 95829
SACRAMENTO 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: CHAMPLAIN, JAMES RUSSELL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5048 Primary Status: Cancelled

Address :
7123 PARISH WAY
CITRUS HEIGHTS CA 95621
SACRAMENTO 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: MILLER, KAYE ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5438 Primary Status: Cancelled

Address :
5920 FAIRBAIRNE DR
NORTH HIGHLANDS CA 95660
SACRAMENTO 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: VALENTINE, CHRISTINA LOUISE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4644 Primary Status: Cancelled

Address :
6234 HAPPY WAY
MARYSVILLE CA 95901
YUBA 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: SANDOVAL, KAREN SUE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3278 Primary Status: Delinquent

Address :
15814 Cobalt St
SYLMAR CA 91342-3506
LOS ANGELES 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: MONTOYA, LYUDMILA CHECHELNITSKAYA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40191 Primary Status: Delinquent

Address :
7306 Huntington Square Ln
Apt 30
CITRUS HEIGHTS CA 95621-4405
SACRAMENTO 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: JOHNSTON, JOHN IVAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5583 Primary Status: Cancelled

Address :
4903 EARLCORT CIRCLE
SACRAMENTO CA 95842
SACRAMENTO 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: BRAZEAL, HONEY SINDA-RAY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5519 Primary Status: Cancelled

Address :
6332 TWIN WOOD WAY
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

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