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Licensing details for: 43571

Name: Melendrez, David Alan

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

5604 Cornerstone Dr
RIVERBANK CA 95367-9595
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Issuance Date

October 18, 2024

Expiration Date

October 31, 2026

Current Date / Time

November 6, 2025
6:19:31 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 Corporation

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71389 Primary Status: Current

Address :
2015 Claribel Rd
RIVERBANK CA 95367-9001
STANISLAUS COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Melendrez, David Alan

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9182 Primary Status: Current

Address :
5604 Cornerstone Dr
RIVERBANK CA 95367-9595
STANISLAUS COUNTY

Map

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