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Licensing details for: 40841

Name: PHAN, TITH V

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

8140 Clanton Ct
SACRAMENTO CA 95828-4406
SACRAMENTO county
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Issuance Date

February 17, 2017

Expiration Date

July 31, 2026

Current Date / Time

April 4, 2026
1:53:12 AM

Public Record Actions

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 STORE #1697

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6997 Primary Status: Current

Address :
8465 ELK GROVE BLVD
ELK GROVE CA 95758
SACRAMENTO COUNTY

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