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Licensing details for: 42410

Name: Foerster, Ethan David

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: Foerster, Ethan

Address of Record

650 Gateway Center Dr
SAN DIEGO CA 92102-4530
SAN DIEGO county
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Issuance Date

September 3, 2021

Expiration Date

September 30, 2027

Current Date / Time

November 5, 2025
5:16:34 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: Foerster, Ethan David

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8726 Primary Status: Current

Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
SOLANO COUNTY

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