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Licensing details for: 42935

Name: Lopez, Adriana Antonia

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

35 E Cataldi Ave
MOUNTAIN HOUSE CA 95391-8229
SAN JOAQUIN county
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Issuance Date

January 18, 2023

Expiration Date

January 31, 2025

Current Date / Time

November 5, 2025
5:21:52 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 #658

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6869 Primary Status: Current

Address :
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN COUNTY

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