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Licensing details for: 41065

Name: CARDONA, JACQUELINE PRISCILLA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

21029 Valerio St
CANOGA PARK CA 91303-1428
LOS ANGELES county
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Issuance Date

January 9, 2018

Expiration Date

November 30, 2025

Current Date / Time

November 6, 2025
10:5:50 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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