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Licensing details for: 1498

Name: BRINK, ERIC ALAN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: BRINK, ERIC ALLAN

Address of Record

8510 E 29TH ST N UNIT 218
WICHITA KS 67226
SEDGWICK county
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Issuance Date

August 15, 2005

Expiration Date

August 31, 2007

Current Date / Time

November 5, 2025
1:53:44 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 # 5162

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7052 Primary Status: Current

Address :
27931 KELLY JOHNSON PARKWAY
SANTA CLARITA CA 91355
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: WAL-MART VISION CENTER 2032

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7159 Primary Status: Current

Address :
2001 N ROSE AVE
OXNARD CA 93030
VENTURA COUNTY

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