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Licensing details for: 6495

Name: BROCCOLO, JOHN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

17950 Vanowen St
RESEDA CA 91335-5649
LOS ANGELES county
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Issuance Date

October 25, 2011

Expiration Date

March 31, 2027

Current Date / Time

November 5, 2025
2:51:14 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 #447

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6834 Primary Status: Current

Address :
18649 VIA PRINCESSA
SANTA CLARITA CA 91351
LOS ANGELES COUNTY

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