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Licensing details for: 1768

Name: MORALES, ANTONIA H

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

203 N HAMBLEDON AVE
LA PUENTE CA 91744
LOS ANGELES county
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Issuance Date

September 13, 2007

Expiration Date

June 30, 2011

Current Date / Time

November 6, 2025
12:36:42 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 #686

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6755 Primary Status: Current

Address :
9404 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY

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