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Licensing details for: 1434

Name: HANNA, SAMUEL MARK

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2155 Park Marina Dr
39
REDDING CA 96001-0956
SHASTA county
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Issuance Date

January 14, 2005

Expiration Date

October 31, 2026

Current Date / Time

April 8, 2026
4:24:10 AM

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: 5729 Primary Status: Cancelled

Address :
1300 DANA DRIVE
REDDING CA 96003
SHASTA COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: HANNA, SAMUEL MARK

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5145 Primary Status: Current

Address :
2155 Park Marina Dr
39
REDDING CA 96001-0956
SHASTA COUNTY

Map

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