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Licensing details for: 40425

Name: PHILLIPS, PATRICIA LYNNE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

10155 Pacific Heights Blvd Bldg AZ, Suite 244A
Qualcomm Vision Center
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

August 31, 2015

Expiration Date

December 31, 2016

Current Date / Time

November 5, 2025
11:15:58 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: VSP RETAIL, INC. DBA QUALCOMM VISION CENTER

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70602 Primary Status: Current

Address :
10155 Pacific Heights Blvd
SAN DIEGO CA 92121-4214
SAN DIEGO COUNTY

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