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Licensing details for: 1529

Name: LUCAS, DEBANI E

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

27931 MORREY LANE
MORENO VALLEY CA 92555
RIVERSIDE county
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Issuance Date

December 16, 2005

Expiration Date

October 31, 2007

Current Date / Time

November 5, 2025
9:35:25 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 #6378

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6880 Primary Status: Current

Address :
6363 VALLEY SPRINGS PKWY
RIVERSIDE CA 92507
RIVERSIDE COUNTY

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