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Licensing details for: 42631

Name: VALDEZ, SAMANTHA MICHELLE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

12723 Oakdale St
EASTVALE CA 92880-7210
RIVERSIDE county
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Issuance Date

March 30, 2022

Expiration Date

March 31, 2028

Current Date / Time

April 3, 2026
9:02:21 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 Corporation

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70894 Primary Status: Current

Address :
5030 Hamner Ave
EASTVALE CA 91752
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: VALDEZ, SAMANTHA MICHELLE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9244 Primary Status: Current

Address :
12723 Oakdale St
EASTVALE CA 92880-7210

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