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Licensing details for: 1387

Name: TALBOT, LACY L

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

44045 N 15TH ST W # 106
LANCASTER CA 93534
LOS ANGELES county
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Issuance Date

July 28, 2004

Expiration Date

September 30, 2007

Current Date / Time

November 5, 2025
5:23:23 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAMS CLUB VISION CENTER #4824

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7146 Primary Status: Current

Address :
26468 CARL BOYER DRIVE
SANTA CLARITA CA 91351
LOS ANGELES 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 # 4767

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6991 Primary Status: Current

Address :
39940 WEST 10 STREET
PALMDALE CA 93551
LOS ANGELES COUNTY

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