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Licensing details for: 6976

Name: WAL-MART 5139

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

235 EAST DORSET DRIVE
DIXON CA 92590
SOLANO county
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Issuance Date

April 19, 2004

Expiration Date

April 30, 2008

Current Date / Time

November 6, 2025
11:53:58 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: SUISON, DORA V

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1601 Primary Status: Cancelled

Address :
231 LARISSA LANE
VALLEJO CA 94590
SOLANO COUNTY

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