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Licensing details for: 1474

Name: SCOTT, RANDALL CHARLES

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

409 KLUTE STREET
SANTA ROSA CA 95401
SONOMA county
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Issuance Date

May 13, 2005

Expiration Date

October 31, 2020

Current Date / Time

November 6, 2025
4:17:49 AM

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 # 1755

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6988 Primary Status: Current

Address :
4625 REDWOOD DRIVE
ROHNERT PARK CA 94928
SONOMA COUNTY

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