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Licensing details for: 42772

Name: Gomez, Celia

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

19847 Terri Dr
CANYON COUNTRY CA 91351-4817
LOS ANGELES county
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Issuance Date

August 9, 2022

Expiration Date

August 31, 2026

Current Date / Time

November 6, 2025
10:1:25 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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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Gomez, Celia

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8926 Primary Status: Current

Address :
21800 Victory Blvd
WOODLAND HILLS CA 91367-2227
LOS ANGELES COUNTY

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