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Licensing details for: 723

Name: KENNEDY, ROBERT T JR

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: KENNEDY, ALBERT T JR

Address of Record

19499 Moon Ridge Rd
HIDDEN VALLEY LAKE CA 95467-8606
LAKE county
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Issuance Date

March 20, 2015

Expiration Date

October 31, 2026

Current Date / Time

November 6, 2025
10:46:24 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: NATIONAL VISION EYECARE CENTER #2553

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6462 Primary Status: Cancelled

Address :
6650 HEMBREE LANE
WINDSOR CA 95492
SONOMA COUNTY

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