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Licensing details for: 8249

Name: LICON, NIKI - RAE ALEXIS

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1555 N Elderberry Ct
ONTARIO CA 91762-1022
SAN BERNARDINO county
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Issuance Date

August 2, 2017

Expiration Date

January 31, 2027

Current Date / Time

November 5, 2025
9:25:8 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6619

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6734 Primary Status: Current

Address :
951 N MILLIKEN AVE
ONTARIO CA 91764-5008
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: LICON, NIKI - RAE ALEXIS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40958 Primary Status: Current

Address :
1555 N Elderberry Ct
ONTARIO CA 91762-1022
SAN BERNARDINO COUNTY

Map

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