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Licensing details for: 8042

Name: FERGUSON, DERRICK ANTHONY

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

942 N Louise St
7
GLENDALE CA 91207-2053
LOS ANGELES county
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Issuance Date

November 17, 2014

Expiration Date

July 31, 2026

Current Date / Time

November 5, 2025
8:4:33 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WALMART SUPERCENTER #5154

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7214 Primary Status: Current

Address :
1827 WALNUT GROVE BLVD
ROSEMEAD CA 91770
LOS ANGELES COUNTY

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