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Licensing details for: 1611

Name: OSTLY, MARY M

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

18507 KINGSBURY ST
NORTHRIDGE CA 91326
LOS ANGELES county
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Issuance Date

August 4, 2006

Expiration Date

December 31, 2025

Current Date / Time

November 6, 2025
7:44:27 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 #677

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6760 Primary Status: Current

Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #128

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6165 Primary Status: Current

Address :
2660 PARK CENTER DR
SIMI VALLEY CA 93065
VENTURA COUNTY

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