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Licensing details for: 1671

Name: LIRA, MARY KATHERINE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

12232 GATHERING PL APT E
EASTVALE CA 91752
RIVERSIDE county
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Issuance Date

March 8, 2007

Expiration Date

September 30, 2014

Current Date / Time

November 5, 2025
2:32:0 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 #678

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6856 Primary Status: Current

Address :
11800 4TH STREET
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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