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Licensing details for: 1386

Name: ROY, KEN E

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1440 SUNRISE DR
VISTA CA 92084
SAN DIEGO county
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Issuance Date

July 20, 2004

Expiration Date

November 30, 2009

Current Date / Time

November 5, 2025
6:8:2 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 5075

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6971 Primary Status: Current

Address :
3405 MARRON ROAD
OCEANSIDE CA 92056
SAN DIEGO COUNTY

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