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Licensing details for: 1525

Name: KIMES, ANDREA MARIE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

225 E HARCOURT ST
LONG BEACH CA 90805
LOS ANGELES county
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Issuance Date

November 30, 2005

Expiration Date

June 30, 2011

Current Date / Time

November 5, 2025
6:6:6 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6628

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6878 Primary Status: Current

Address :
2601 SKYPARK DR
TORRANCE CA 90505-5313
LOS ANGELES COUNTY

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