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Licensing details for: 41076

Name: Tsang, Sam

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: tsang, sam

Address of Record

15449 Tobarra Rd
FONTANA CA 92337-9059
SAN BERNARDINO county
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Issuance Date

January 24, 2018

Expiration Date

January 31, 2026

Current Date / Time

November 6, 2025
12:40:15 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 #686

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6755 Primary Status: Current

Address :
9404 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Tsang, Sam

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8293 Primary Status: Current

Address :
15449 Tobarra Rd
FONTANA CA 92337-9059
SAN BERNARDINO COUNTY

Map

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