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Licensing details for: 8543

Name: ELLIOTT, PAUL JEROME

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

po box 917
JOSHUA TREE CA 92252
SAN BERNARDINO county
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Issuance Date

October 29, 2019

Expiration Date

October 31, 2025

Current Date / Time

November 6, 2025
4:32:35 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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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: ELLIOTT, PAUL JEROME

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41078 Primary Status: Current

Address :
8748 Rainbow Ridge Rd
JOSHUA TREE CA 92252-0887
SAN BERNARDINO COUNTY

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