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Licensing details for: 1553

Name: PHOUNRATH, RAFLYN LAURON P

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1061 Vineyard Dr
OAKLEY CA 94561-3805
CONTRA COSTA county
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Issuance Date

March 8, 2006

Expiration Date

April 30, 2027

Current Date / Time

November 6, 2025
12:43:8 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 #470

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6842 Primary Status: Current

Address :
5301 ALMADEN EXPRESSWAY
SAN JOSE CA 95118
SANTA CLARA COUNTY

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