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Licensing details for: 1220

Name: COOKE, KIMBERLY ANN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MALONE, KIMBERLY ANN

Address of Record

16802 Valley Hi Dr
BANNING CA 92220-9566
RIVERSIDE county
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Issuance Date

May 19, 1998

Expiration Date

October 31, 2015

Current Date / Time

November 5, 2025
3:54:41 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 2708

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6984 Primary Status: Current

Address :
32225 HIGHWAY 79 SOUTH
TEMECULA CA 92590
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 # 5425

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7244 Primary Status: Current

Address :
1861 S. SAN JACINTO AVE
SAN JACINTO CA 92583
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 #2735

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6761 Primary Status: Current

Address :
6051 Florin Rd
SACRAMENTO CA 95823-2304
SACRAMENTO COUNTY

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