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Licensing details for: 40405

Name: ESCOBAR, ULYAN AL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

27542 Ethan Allen Way
SUN CITY CA 92585-9148
RIVERSIDE county
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Issuance Date

July 22, 2015

Expiration Date

April 30, 2017

Current Date / Time

November 6, 2025
3:36:38 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 746

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7185 Primary Status: Current

Address :
29315 CENTRAL AVE
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY

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