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Licensing details for: 41341

Name: zolty, ashlen thaddeus michael

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO county
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Issuance Date

October 29, 2018

Expiration Date

October 31, 2026

Current Date / Time

November 6, 2025
5:5:3 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 #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: zolty, ashlen thaddeus michael

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8424 Primary Status: Current

Address :
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO COUNTY

Map

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