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Licensing details for: 40752

Name: SALCIDO, JACOB VINCE ELLIOT

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

16220 Cornuta Ave Apt 42
BELLFLOWER CA 90706-8637
LOS ANGELES county
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Issuance Date

November 22, 2016

Expiration Date

March 31, 2018

Current Date / Time

November 7, 2025
12:44:0 PM

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 #769

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6936 Primary Status: Current

Address :
3560 W CENTURY BLVD
INGLEWOOD CA 90303
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: SALCIDO, JACOB VINCE ELLIOT

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8189 Primary Status: Cancelled

Address :
16220 Cornuta Ave Apt 42
BELLFLOWER CA 90706-8637
LOS ANGELES COUNTY

Map

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