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Licensing details for: 43892

Name: Andrade, Lourdes Maria

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

21800 Victory Blvd
WOODLAND HILLS CA 91367
LOS ANGELES county
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Issuance Date

October 21, 2025

Expiration Date

October 31, 2027

Current Date / Time

November 6, 2025
10:2:9 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 CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6024 Primary Status: Current

Address :
21800 VICTORY BLVD
WOODLAND HILLS CA 91367-2227
LOS ANGELES COUNTY

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