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Licensing details for: 8457

Name: Russell, Ethan James

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2285 Lakeside Pl
Apt 106
CORONA CA 92879-7961
RIVERSIDE county
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Issuance Date

March 1, 2019

Expiration Date

March 31, 2027

Current Date / Time

November 6, 2025
2:10:1 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #6726

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70659 Primary Status: Current

Address :
3944 Grand Ave
CHINO CA 91710-5422
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: Russell, Ethan James

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41491 Primary Status: Current

Address :
2285 Lakeside Pl
Apt 106
CORONA CA 92879-7961
RIVERSIDE COUNTY

Map

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