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Licensing details for: 6550

Name: BABAUTA, THOMAS ANTHONY

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

150 Coronado Ave Apt 403
DALY CITY CA 94015-3374
SAN MATEO county
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Issuance Date

February 6, 2012

Expiration Date

May 31, 2025

Current Date / Time

November 6, 2025
8:7:20 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

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6456 Primary Status: Current

Address :
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: BABAUTA, THOMAS ANTHONY

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2178 Primary Status: Delinquent

Address :
150 Coronado Ave
apt 403
DALY CITY CA 94015-3357
SAN MATEO COUNTY

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