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Licensing details for: 43150

Name: Huynh, Taylor

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
Map

Issuance Date

August 1, 2023

Expiration Date

August 31, 2027

Current Date / Time

November 6, 2025
4:15:55 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 CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7583 Primary Status: Current

Address :
2680 REYNOLDS RANCH PKWY
LODI CA 95240
SAN JOAQUIN COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Huynh, Taylor

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8987 Primary Status: Current

Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848

Map

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