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Licensing details for: 8048

Name: DAVIS, LISA LARAINE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4576 Camarilla Ave
YUCCA VALLEY CA 92284-1226
SAN BERNARDINO county
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Issuance Date

January 23, 2015

Expiration Date

July 31, 2020

Current Date / Time

November 6, 2025
4:33:35 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 VISION CENTER # 1915

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7696 Primary Status: Current

Address :
58501 29 PALMS HWY
YUCCA VALLEY CA 92284
SAN BERNARDINO COUNTY

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