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Licensing details for: 1585

Name: SORENSON, DAVID K

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: SORENSON, DAVID KEITH

Address of Record

COSTCO OPTICAL DEPT
1335 S BRADLEY ST
SANTA MARIA CA 93454
SANTA BARBARA county
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Issuance Date

July 12, 2006

Expiration Date

May 31, 2018

Current Date / Time

November 6, 2025
8:18:34 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 #1275

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5892 Primary Status: Current

Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: SORENSON, DAVID K

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 1483 Primary Status: Cancelled

Address :
COSTCO OPTICAL DEPT
1335 S BRADLEY RD
SANTA MARIA CA 93454
SANTA BARBARA COUNTY

Map

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