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Licensing details for: 6884

Name: CALVILLO, NANCY JEAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4812 WILD ROSE DRIVE
SALIDA CA 95368
STANISLAUS county
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Issuance Date

September 18, 2013

Expiration Date

January 31, 2015

Current Date / Time

November 6, 2025
3:10:26 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 CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6171 Primary Status: Current

Address :
3801 PELANDALE AVE
MODESTO CA 95356
STANISLAUS COUNTY

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