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Licensing details for: 43775

Name: willis, Gloria Bertha

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1297 Nacion Ave
CHULA VISTA CA 91911-3703
SAN DIEGO county
Map

Issuance Date

June 3, 2025

Expiration Date

June 30, 2027

Current Date / Time

November 5, 2025
8:57:10 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 #488

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3839 Primary Status: Current

Address :
2345 FENTON PARKWAY
SAN DIEGO CA 92108
SAN DIEGO COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: willis, Gloria Bertha

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9095 Primary Status: Current

Address :
1297 Nacion Ave
CHULA VISTA CA 91911-3703
SAN DIEGO COUNTY

Map

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