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Licensing details for: 6579

Name: ACOSTA, ANGELINA C

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1220 Chesbro Way
GILROY CA 95020-3814
SANTA CLARA county
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Issuance Date

March 26, 2012

Expiration Date

November 30, 2019

Current Date / Time

April 3, 2026
11:15:36 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 #1042

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6820 Primary Status: Current

Address :
2300 MIDDLEFIELD RD
REDWOOD CITY CA 94063
SAN MATEO COUNTY

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