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Licensing details for: 42039

Name: Herrera, Angelica

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

22100 Burbank Blvd
APT 169 G
WOODLAND HILLS CA 91367
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Issuance Date

April 3, 2020

Expiration Date

April 30, 2028

Current Date / Time

April 8, 2026
2:24:55 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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