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Licensing details for: 1384

Name: LADERE, JAMES D

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

20235 SUGAR GUM ROAD
RIVERSIDE CA 92508
RIVERSIDE county
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Issuance Date

July 20, 2004

Expiration Date

October 31, 2011

Current Date / Time

November 5, 2025
7:56:33 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE # 1692

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6990 Primary Status: Current

Address :
1120 S MT VERNON AVENUE
COLTON CA 92324
SAN BERNARDINO COUNTY

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