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Licensing details for: 1695

Name: DAVILA, DEANA DENISE

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

20935 RANCHERIAS ROAD
APPLE VALLEY CA 92307
SAN BERNARDINO county
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Issuance Date

April 12, 2007

Expiration Date

October 31, 2024

Current Date / Time

November 7, 2025
4:28:36 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 #1010

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7311 Primary Status: Current

Address :
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY

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