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Licensing details for: 2103

Name: GIBSON, MARQUISE JAMEL

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

5156 JUDSONVILLE DRIVE
ANTIOCH CA 94531
CONTRA COSTA county
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Issuance Date

February 3, 2011

Expiration Date

June 30, 2012

Current Date / Time

November 6, 2025
7:34:53 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 #1615

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6955 Primary Status: Current

Address :
2203 LOVERIDGE ROAD
PITTSBURG CA 94565
CONTRA COSTA COUNTY

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