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Licensing details for: 43330

Name: Diaz, Rosio

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

137 W Avenida de los Arboles
197
THOUSAND OAKS CA 91360
VENTURA county
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Issuance Date

January 26, 2024

Expiration Date

January 31, 2028

Current Date / Time

April 3, 2026
4:28:38 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 CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6181 Primary Status: Current

Address :
5700 LINDERO CANYON RD
WESTLAKE VILLAGE CA 91362
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: Diaz, Rosio

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9192 Primary Status: Current

Address :
137 W AVENIDA DE LOS ARBOLES
APT 197
THOUSAND OAKS CA 91360
VENTURA COUNTY

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