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Licensing details for: 1790

Name: WILSON, ADAM J

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

15605 Cascade Loop
NEVADA CITY CA 95959-9571
NEVADA county
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Issuance Date

February 14, 2008

Expiration Date

October 31, 2021

Current Date / Time

November 6, 2025
12:34:46 AM

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 OPTICAL # 6616

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70594 Primary Status: Current

Address :
603 S Placentia Ave
FULLERTON CA 92831-5112
ORANGE COUNTY

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