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Licensing details for: 6058

Name: CARRILLO, EDGAR ULISES

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11800 4th St
RANCHO CUCAMONGA CA 91730-6129
SAN BERNARDINO county
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Issuance Date

August 28, 2009

Expiration Date

July 31, 2027

Current Date / Time

November 6, 2025
4:8:7 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 CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7322 Primary Status: Current

Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY

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