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Licensing details for: 8299

Name: SULLIVAN, SUSAN ANN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: SULLIVAN, SUSAN A

Address of Record

17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO county
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Issuance Date

March 5, 2018

Expiration Date

March 31, 2026

Current Date / Time

November 5, 2025
7:18:12 PM

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 STORE # 1700

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7024 Primary Status: Current

Address :
13425 COMMUNITY RD
POWAY CA 92064
SAN DIEGO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: SULLIVAN, SUSAN ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40830 Primary Status: Current

Address :
17426 Matinal Rd Apt 4622
SAN DIEGO CA 92127-1399
SAN DIEGO COUNTY

Map

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