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Licensing details for: 42827

Name: Corona, Brenda

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

39905 Estates Rd
apt 1
RANCHO MIRAGE CA 92270-6000
RIVERSIDE county
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Issuance Date

September 21, 2022

Expiration Date

September 30, 2026

Current Date / Time

November 7, 2025
4:28:45 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 #638

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7224 Primary Status: Current

Address :
79-795 HIGHWAY 111
LA QUINTA CA 92253
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: Corona, Brenda

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9033 Primary Status: Current

Address :
79795 Highway 111
LA QUINTA CA 92253-4756
RIVERSIDE COUNTY

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