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Licensing details for: 6002

Name: GALLARDO, JULISSA F

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN county
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Issuance Date

May 15, 2009

Expiration Date

February 28, 2027

Current Date / Time

November 5, 2025
5:19:48 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 #658

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6869 Primary Status: Current

Address :
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN COUNTY

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