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Licensing details for: 1466

Name: BRADLEY, CHEYENNE LEE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

11681 VIETTA TERRACE
SAN DIEGO CA 92126
SAN DIEGO county
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Issuance Date

April 4, 2005

Expiration Date

April 30, 2009

Current Date / Time

November 5, 2025
3:54:59 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 VISION CENTER 2028

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7177 Primary Status: Current

Address :
5200 VAN BUREN BLVD
RIVERSIDE CA 92503
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 # 1832

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7059 Primary Status: Current

Address :
5601 E RAMON RD
PALM SPRINGS CA 92262
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: BRADLEY, CHEYENNE LEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5254 Primary Status: Cancelled

Address :
11681 VIETTA TERRACE
SAN DIEGO CA 92126
SAN DIEGO COUNTY

Map

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