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Licensing details for: 1052

Name: GRAVES, ANTHONY WAYNE

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE county
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Issuance Date

September 27, 1994

Expiration Date

July 31, 2027

Current Date / Time

November 5, 2025
8:27:54 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART # 1832

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7059 Primary Status: Current

Address :
5601 E RAMON RD
PALM SPRINGS CA 92262
RIVERSIDE COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER #1899

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7095 Primary Status: Current

Address :
6250 VALLEY SPRINGS PKWY
RIVERSIDE CA 92507
RIVERSIDE COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART VISION CENTER #5193

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7138 Primary Status: Current

Address :
12721 MORENO BEACH DR
MORENO VALLEY CA 92507
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: GRAVES, ANTHONY WAYNE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 2801 Primary Status: Current

Address :
27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE COUNTY

Map

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