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Licensing details for: 43691

Name: Betancourt, Paul Jacob

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

742 Baylor Ave
CHULA VISTA CA 91913-2002
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Issuance Date

March 4, 2025

Expiration Date

March 31, 2027

Current Date / Time

November 6, 2025
12:6:11 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 # 775

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6993 Primary Status: Current

Address :
12155 TECH CENTER DR
POWAY CA 92064
SAN DIEGO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Betancourt, Paul Jacob

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9229 Primary Status: Current

Address :
742 Baylor Ave
CHULA VISTA CA 91913-2002

Map

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