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Licensing details for: 1707

Name: D'ANDA, MARTA ANNE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

15436 LA MIRADA BLVD # HH210
LA MIRADA CA 90638
LOS ANGELES county
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Issuance Date

April 30, 2007

Expiration Date

January 31, 2009

Current Date / Time

November 6, 2025
4:13:48 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 #777

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7127 Primary Status: Current

Address :
101 N BEACH BLVD
LA HABRA CA 90631
ORANGE COUNTY

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