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Licensing details for: 7033

Name: SAM'S CLUB # 6621

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

904 PLEASANT GROVE BLVD.
ROSEVILLE CA 95678
PLACER county
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Issuance Date

October 16, 2004

Expiration Date

October 31, 2026

Current Date / Time

November 5, 2025
11:1:59 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: McNamara, Marcia Alice

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8577 Primary Status: Current

Address :
904 Pleasant Grove Blvd
ROSEVILLE CA 95678-6126
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: DUKE, KRISTINE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1610 Primary Status: Cancelled

Address :
5500 FOOTHILL GARDEN COURT #40
SACRAMENTO 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: SNIDER, LINDA JOANNE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1487 Primary Status: Cancelled

Address :
230 GEARY CT
LINCOLN CA 95648
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: CRIDDLE, GARY JOSEPH

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1347 Primary Status: Cancelled

Address :
2123 AHERN STREET
MARYSVILLE CA 95901
YUBA 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: HARRIS, TERRY WILLIAM

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2303 Primary Status: Cancelled

Address :
3034 WILDERNESS DRIVE SE
OLYMPIA WA 98501
THURSTON 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: COOMES, DEBRA ANN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8100 Primary Status: Current

Address :
34 Patricia Way
ROSEVILLE CA 95678-7013
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: MICHEL, CHRISTAL ROSE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8063 Primary Status: Current

Address :
1835 Larkflower Way
LINCOLN CA 95648-3005
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: FIELDER, LOYS DEE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1492 Primary Status: Cancelled

Address :
429 carnelia trail #595
FRAZIER PARK CA 93225
KERN 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: SNIDER, LINDA JOANNE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5351 Primary Status: Cancelled

Address :
230 GEARY CT
LINCOLN CA 95648
PLACER COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WEATHERFORD-SMITH, CHERI L

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5422 Primary Status: Cancelled

Address :
326 UNION ST
ROSEVILLE CA 95678
PLACER 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: MELNYCHUK, ZHANNA LEONTIIVNA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5800 Primary Status: Current

Address :
7141 Minoress Way
SACRAMENTO CA 95842-1729
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: DUKE, KRISTINE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5495 Primary Status: Cancelled

Address :
5500 FOOTHILL GARDEN COURT #40
SACRAMENTO CA 95660
SACRAMENTO COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CRIDDLE, GARY JOSEPH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4910 Primary Status: Cancelled

Address :
2123 AHERN STREET
MARYSVILLE CA 95901
YUBA COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: COOMES, DEBRA ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40347 Primary Status: Current

Address :
34 Patricia Way
ROSEVILLE CA 95678-7013
PLACER COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LLENA, JEFFREY DANIEL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40835 Primary Status: Delinquent

Address :
131 Orcutt Cir
SACRAMENTO CA 95834-2618
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: MICHEL, CHRISTAL ROSE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40179 Primary Status: Current

Address :
1835 Larkflower Way
LINCOLN CA 95648-3005
PLACER COUNTY

Map

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: McNamara, Marcia Alice

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41980 Primary Status: Current

Address :
904 Pleasant Grove Blvd
ROSEVILLE CA 95678-6126
PLACER COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HARRIS, TERRY WILLIAM

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6822 Primary Status: Cancelled

Address :
3034 WILDERNESS DRIVE SE
OLYMPIA WA 98501
THURSTON COUNTY

Map

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