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Licensing details for: 1617

Name: JACKSON, ROBERT PAUL

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: JACKSON, ROBERT P

Address of Record

PO Box 1323
FLOWERY BRANCH GA 30542-0023
HALL county
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Issuance Date

August 15, 2006

Expiration Date

September 30, 2021

Current Date / Time

November 5, 2025
12:7:19 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 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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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: JACKSON, ROBERT PAUL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 2929 Primary Status: Cancelled

Address :
PO Box 1323
FLOWERY BRANCH GA 30542-0023
HALL COUNTY

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