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Licensing details for: 1429

Name: BEAVER, STEVEN PAUL

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: BEAVER, STEVEN P

Address of Record

1005 ROSEMORE AVE
MODESTO CA 95358
STANISLAUS county
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Issuance Date

November 19, 2004

Expiration Date

October 31, 2008

Current Date / Time

November 6, 2025
3:9:39 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact 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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