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Licensing details for: 1677

Name: BERARD, GREGORY JOHN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

550 MAY STREET
ARROYO GRANDE CA 93420-2832
SAN LUIS OBISPO county
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Issuance Date

March 21, 2007

Expiration Date

November 30, 2020

Current Date / Time

November 6, 2025
5:6:8 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 #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY

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