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Licensing details for: 40733

Name: KLESZCZ, DANIELLE ALEXANDRA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: MUNOZ, DANIELLE ALEXANDRA

Address of Record

1801 10th Ave NW
ISSAQUAH WA 98027-5384
KING county
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Issuance Date

October 18, 2016

Expiration Date

December 31, 2025

Current Date / Time

November 6, 2025
10:2:10 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 CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6024 Primary Status: Current

Address :
21800 VICTORY BLVD
WOODLAND HILLS CA 91367-2227
LOS ANGELES COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: KLESZCZ, DANIELLE ALEXANDRA

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8362 Primary Status: Current

Address :
1801 10th Ave NW
ISSAQUAH WA 98027-5384
KING COUNTY

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