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Licensing details for: 40777

Name: SOLOMON, BANA ZEMICAEL

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA county
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Issuance Date

December 8, 2016

Expiration Date

October 31, 2024

Current Date / Time

November 6, 2025
10:3:41 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 # 671

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3998 Primary Status: Current

Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
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: SOLOMON, BANA ZEMICAEL

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8198 Primary Status: Delinquent

Address :
2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA COUNTY

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