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Licensing details for: 1612

Name: GROSS, KIMBERLY COLLEEN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

27441 Hialeah Dr
STALLION SPRINGS CA 93561-5344
KERN county
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Issuance Date

August 4, 2006

Expiration Date

April 30, 2026

Current Date / Time

November 6, 2025
4:17:31 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 # 1760

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6989 Primary Status: Current

Address :
1018 RILEY STREET
FOLSOM CA 95630
SACRAMENTO COUNTY

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