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Licensing details for: 1401

Name: ETHRIDGE, SUE ANNE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

24592 CALLE ESTANCIA
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

August 24, 2004

Expiration Date

August 31, 2016

Current Date / Time

November 5, 2025
1:52:11 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 # 2952 OPTICAL

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6717 Primary Status: Current

Address :
41200 MURRIETA HOT SPRINGS RD
MURRIETA CA 92562
RIVERSIDE 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: WAL-MART 2708

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6984 Primary Status: Current

Address :
32225 HIGHWAY 79 SOUTH
TEMECULA CA 92590
RIVERSIDE COUNTY

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