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Licensing details for: 6997

Name: WAL-MART STORE #1697

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

8465 ELK GROVE BLVD
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

July 21, 2004

Expiration Date

July 31, 2026

Current Date / Time

April 3, 2026
9:08:10 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: MADARANG, JESUS M

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1396 Primary Status: Current

Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
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: MAHONEY JR, PATRICK NEVIN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8186 Primary Status: Current

Address :
9022 Stinson Beach Way
ELK GROVE CA 95758-5151
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: MADARANG, JESUS M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4582 Primary Status: Current

Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
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: MAHONEY JR, PATRICK NEVIN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40736 Primary Status: Current

Address :
9022 Stinson Beach Way
ELK GROVE CA 95758-5151
SACRAMENTO COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PHAN, TITH V

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40841 Primary Status: Current

Address :
8140 Clanton Ct
SACRAMENTO CA 95828-4406
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: GUDINO, NORMA ANGELICA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41108 Primary Status: Current

Address :
7630 Klotz Ranch CT
3301
SACRAMENTO CA 95831
SACRAMENTO COUNTY

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