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Licensing details for: 40211

Name: PACKHAM, COLIN ANDREW

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

63 Muirfield Ct
SAN JOSE CA 95116-2652
SANTA CLARA county
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Issuance Date

October 7, 2014

Expiration Date

August 31, 2016

Current Date / Time

November 6, 2025
8:12:57 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #1004

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7307 Primary Status: Current

Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY

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