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Licensing details for: 6879

Name: DAVIS, LISA LARAINE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4576 Camarilla Ave
YUCCA VALLEY CA 92284-1226
SAN BERNARDINO county
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Issuance Date

September 6, 2013

Expiration Date

July 31, 2021

Current Date / Time

November 6, 2025
4:29:11 AM

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 # 1915

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7696 Primary Status: Current

Address :
58501 29 PALMS HWY
YUCCA VALLEY CA 92284
SAN BERNARDINO COUNTY

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