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Licensing details for: 2137

Name: SANDERS, PATRICIA FAWN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

PO Box 307
HELENDALE CA 92342-0307
SAN BERNARDINO county
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Issuance Date

July 28, 2011

Expiration Date

July 31, 2019

Current Date / Time

November 6, 2025
10:43:27 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 #1588

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6934 Primary Status: Current

Address :
11896 AMARGOSA RD
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WALMART VISION CENTER #4392

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70541 Primary Status: Current

Address :
12234 Palmdale Road
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY

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