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Licensing details for: 8231

Name: JACKSON, REGINALD DERWIN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1383 Birch St
SAN BERNARDINO CA 92410-2245
SAN BERNARDINO county
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Issuance Date

June 16, 2017

Expiration Date

July 31, 2026

Current Date / Time

November 5, 2025
7:37:23 PM

Disciplinary Actions

Start: June 16, 2017

Action: SOI - Granted

Public Record Actions

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 #1992

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7130 Primary Status: Current

Address :
1540 W FOOTHILL BLVD
UPLAND CA 91786
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: JACKSON, REGINALD DERWIN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40917 Primary Status: Current

Address :
1383 Birch St
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY

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