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Licensing details for: 9169

Name: HERRICK, LARA KAYE

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

255 Cochran St
SIMI VALLEY CA 93065-6276
VENTURA county
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Issuance Date

October 29, 2024

Expiration Date

October 31, 2026

Current Date / Time

November 4, 2025
10:6:9 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 #2526

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71366 Primary Status: Current

Address :
19821 Rinaldi St
PORTER RANCH CA 91326-4145

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERRICK, LARA KAYE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40809 Primary Status: Current

Address :
50 Majestic Ct #304
MOORPARK CA 93021-2189
VENTURA COUNTY

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