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Licensing details for: 6543

Name: BAUTISTA, ALAN JOSEPH

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11135 CATARINA LANE UNIT 77
SAN DIEGO CA 92128
SAN DIEGO county
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Issuance Date

February 2, 2012

Expiration Date

March 31, 2027

Current Date / Time

November 5, 2025
9:9:29 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 #469

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6258 Primary Status: Current

Address :
8125 FLETCHER PKWY
LA MESA CA 91942
SAN DIEGO COUNTY

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