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Licensing details for: 4813

Name: WILLIAMS, TRACY FERNELL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

PO BOX 580016
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

April 14, 2003

Expiration Date

October 31, 2006

Current Date / Time

November 6, 2025
7:52:3 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #464

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6825 Primary Status: Current

Address :
7981 E STOCKTON BLVD
SACRAMENTO CA 95823
SACRAMENTO COUNTY

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