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Licensing details for: 3352

Name: COOKE, KIMBERLY ANN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MALONE, KIMBERLY ANN

Address of Record

16802 Valley Hi Dr
BANNING CA 92220-9566
RIVERSIDE county
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Issuance Date

August 26, 1994

Expiration Date

February 29, 2016

Current Date / Time

November 5, 2025
8:0:20 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL MART VISION CENTER # 5425

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7244 Primary Status: Current

Address :
1861 S. SAN JACINTO AVE
SAN JACINTO CA 92583
RIVERSIDE COUNTY

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