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Licensing details for: 6836

Name: DOUGLAS, LARISSA AMELIA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

3717 San Joaquin Ave
DENAIR CA 95316-9431
STANISLAUS county
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Issuance Date

June 27, 2013

Expiration Date

March 31, 2027

Current Date / Time

November 5, 2025
12:30:5 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 1963

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7117 Primary Status: Current

Address :
2111 FULKERTH
TURLOCK CA 95380
STANISLAUS COUNTY

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