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Licensing details for: 1379

Name: MCPHERSON, THEODORE R

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MCPHERSON, THEODORE RAMSEY

Address of Record

2100 VALLEY VIEW PKWY # 824
EL DORADO HILLS CA 95762
EL DORADO county
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Issuance Date

July 13, 2004

Expiration Date

May 31, 2006

Current Date / Time

November 6, 2025
9:12:21 AM

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 6620

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6980 Primary Status: Current

Address :
2495 IRON POINT RD #11
FOLSOM CA 95630
SACRAMENTO COUNTY

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