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Licensing details for: 43380

Name: rodriguez, jaclyn rose

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

740 W 19th St
SAN BERNARDINO CA 92405-4239
SAN BERNARDINO county
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Issuance Date

April 2, 2024

Expiration Date

April 30, 2026

Current Date / Time

November 5, 2025
2:27:58 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 #678

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6856 Primary Status: Current

Address :
11800 4TH STREET
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: rodriguez, jaclyn rose

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9163 Primary Status: Current

Address :
740 W 19th St
SAN BERNARDINO CA 92405-4239

Map

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