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Licensing details for: 1676

Name: IVIE, STACY LYNN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1220 Bennett Way Spc 94
TEMPLETON CA 93465-3622
SAN LUIS OBISPO county
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Issuance Date

March 20, 2007

Expiration Date

May 31, 2026

Current Date / Time

November 5, 2025
1:10:2 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 #2099

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7225 Primary Status: Current

Address :
180 NIBLICK ROAD
PASO ROBLES CA 92446
SAN LUIS OBISPO COUNTY

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