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Licensing details for: 5068

Name: CARL, BRANDEA NICHOLE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

9041 EL DORADO PKWY # 35
EL CAJON CA 92021
SAN DIEGO county
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Issuance Date

June 22, 2004

Expiration Date

May 31, 2012

Current Date / Time

November 6, 2025
2:29:9 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 #483

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 4175 Primary Status: Cancelled

Address :
650 GATEWAY CENTER DRIVE
SAN DIEGO CA 92102
SAN DIEGO COUNTY

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