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Licensing details for: 1475

Name: PENNINGTON, JOHN DAVID

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

15319 LAKE BREEZE LANE
LAKE ELSINORE CA 92530
RIVERSIDE county
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Issuance Date

May 18, 2005

Expiration Date

June 30, 2016

Current Date / Time

November 5, 2025
1:51:56 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 2077

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7222 Primary Status: Current

Address :
29260 Central Avenue
LAKE ELSINORE CA 92532
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 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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