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Licensing details for: 1350

Name: TAKAHASHI, CHRISTINE ELAINE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: TAKAHASHI, CHRISTINE

Address of Record

1055 E HARRIMAN PLACE
SAN BERNARDINO CA 92408
SAN BERNARDINO county
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Issuance Date

March 4, 2004

Expiration Date

December 31, 2017

Current Date / Time

November 5, 2025
9:23:33 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB # 6624

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7020 Primary Status: Current

Address :
1055 HARRIMAN PLACE
SAN BERNARDINO CA 92408
SAN BERNARDINO 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: SAM'S CLUB #6619

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6734 Primary Status: Current

Address :
951 N MILLIKEN AVE
ONTARIO CA 91764-5008
SAN BERNARDINO 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: VISION CENTER II # 4105

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7083 Primary Status: Cancelled

Address :
TOWN GATE CROSSING
12420 DAY STREET, STE. B1
MORENO VALLEY CA 92553
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: TAKAHASHI, CHRISTINE ELAINE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3900 Primary Status: Cancelled

Address :
1055 E HARRIMAN PL
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY

Map

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