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Licensing details for: 41880

Name: Bray, Nathan

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

26610 Ynez Rd
TEMECULA CA 92591-4697
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Issuance Date

December 20, 2019

Expiration Date

December 31, 2021

Current Date / Time

April 3, 2026
8:10:47 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

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5891 Primary Status: Current

Address :
26610 YNEZ RD
TEMECULA CA 92591
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Bray, Nathan

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8578 Primary Status: Cancelled

Address :
26610 Ynez Rd
TEMECULA CA 92591-4697

Map

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