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Licensing details for: 41781

Name: Azarbad, Nazila

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

17730 Lassen St
#125
NORTHRIDGE CA 91325-4700
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Issuance Date

October 2, 2019

Expiration Date

October 31, 2027

Current Date / Time

April 8, 2026
2:17:18 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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