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Licensing details for: 7037

Name: WAL-MART # 1840

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

1205 S MAIN ST
MANTECA CA 95337
SAN JOAQUIN county
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Issuance Date

October 26, 2004

Expiration Date

October 31, 2010

Current Date / Time

November 5, 2025
9:0:0 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: MCKEE, JENNIFER LLYNN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1540 Primary Status: Cancelled

Address :
704 PINE STREET
MANTECA CA 95336
SAN JOAQUIN 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: GOLDING, SETH ASHTON

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1399 Primary Status: Cancelled

Address :
2569 E HOUSTON AVE
FRESNO CA 93720
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: DALL-ANGELO, PAULA RENEE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1278 Primary Status: Cancelled

Address :
1545 MICHAEL WAY
TURLOCK CA 95382
STANISLAUS 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: HENSEL, FREDERICK WILLIAM

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1538 Primary Status: Cancelled

Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN 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: GOLDING, SETH ASHTON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5112 Primary Status: Cancelled

Address :
2569 E HOUSTON AVE
FRESNO CA 93720
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: DALL-ANGELO, PAULA RENEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4542 Primary Status: Cancelled

Address :
1545 MICHAEL WAY
TURLOCK CA 95382
STANISLAUS 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: WINKLEBLECH, BRENDA RENEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5383 Primary Status: Cancelled

Address :
1136 Muir Ct
MANTECA CA 95337-5225
SAN JOAQUIN 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: HENSEL, FREDERICK WILLIAM

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5408 Primary Status: Cancelled

Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY

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