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Licensing details for: 40627

Name: BANAVI, KAHRAMAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

10174 Austin Dr Unit 2122
SPRING VALLEY CA 91979-7046
SAN DIEGO county
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Issuance Date

June 8, 2016

Expiration Date

October 31, 2019

Current Date / Time

November 6, 2025
12:6:58 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 # 483

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7089 Primary Status: Current

Address :
650 GATEWAY CENTER DR
SAN DIEGO CA 92102
SAN DIEGO COUNTY

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