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Licensing details for: 5778

Name: IVIE, STACY LYNN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

423 Montebello Oaks Dr
PASO ROBLES CA 93446-7172
SAN LUIS OBISPO county
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Issuance Date

April 8, 2008

Expiration Date

May 31, 2027

Current Date / Time

April 4, 2026
12:51:59 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 #2556

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71365 Primary Status: Current

Address :
1168 W Branch St
ARROYO GRANDE CA 93420-1906
SAN LUIS OBISPO COUNTY

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