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Licensing details for: 7130

Name: WAL-MART VISION CENTER #1992

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

1540 W FOOTHILL BLVD
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

September 2, 2005

Expiration Date

September 30, 2027

Current Date / Time

November 5, 2025
6:9:35 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: CHRISTENSEN, AMBER JANELLE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2121 Primary Status: Cancelled

Address :
2822 S DESERT FOREST AVENUE
ONTARIO CA 91761
SAN BERNARDINO 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: WOODALL, VICKI C

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1738 Primary Status: Current

Address :
7781 WHITNEY DRIVE
RIVERSIDE CA 92509
RIVERSIDE 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: JACKSON, REGINALD DERWIN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8231 Primary Status: Current

Address :
1383 Birch St
SAN BERNARDINO CA 92410-2245
SAN BERNARDINO 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: DREWRY, JEFFREY ETHAN MONROE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2189 Primary Status: Current

Address :
157 ORCHARD LANE
UPLAND CA 91786
SAN BERNARDINO 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: FLORES, MARIANN T

License/Registration Type: Registered Contact Lens Dispenser

License Number: 683 Primary Status: Cancelled

Address :
2436 SULTANA AVE
ONTARIO CA 91761
SAN BERNARDINO 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: Kessman, Katelynn Marie

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43560 Primary Status: Current

Address :
4195 Kingsley St Unit 35
MONTCLAIR CA 91763-3578
SAN BERNARDINO 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: FLORES, MARIANN T

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 131 Primary Status: Cancelled

Address :
2436 SULTANA AVE
ONTARIO CA 91761
SAN BERNARDINO 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: JACKSON, REGINALD DERWIN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40917 Primary Status: Current

Address :
1383 Birch St
SAN BERNARDINO CA 92410
SAN BERNARDINO 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: WOODALL, VICKI C

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5659 Primary Status: Current

Address :
7781 WHITNEY DRIVE
RIVERSIDE CA 92509
RIVERSIDE 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: Magana, Jennifer

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41171 Primary Status: Current

Address :
PO Box 293875
535 Cholla rd
PHELAN CA 92329-3875
SAN BERNARDINO 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: DREWRY, JEFFREY ETHAN MONROE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6568 Primary Status: Current

Address :
157 ORCHARD LANE
UPLAND CA 91786
SAN BERNARDINO COUNTY

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