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Licensing details for: 6460

Name: WILSON, ADAM J

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

15605 Cascade Loop
NEVADA CITY CA 95959
NEVADA county
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Issuance Date

July 28, 2011

Expiration Date

October 31, 2022

Current Date / Time

November 6, 2025
9:10:27 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB # 6623

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7242 Primary Status: Cancelled

Address :
3360 EL CAMINO AVE
SACRAMENTO CA 95821
SACRAMENTO COUNTY

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