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Licensing details for: 6790

Name: ANCONA, GUADALUPE

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

529 S MONTEBELLO BLVD APT E
MONTEBELLO CA 90640
LOS ANGELES county
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Issuance Date

April 25, 2013

Expiration Date

March 31, 2015

Current Date / Time

November 6, 2025
7:20:18 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: 7368 Primary Status: Current

Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY

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