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Licensing details for: 1809

Name: DIAZ, ERIKA VIRGINIA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: DIAZ, ERIKA V

Address of Record

5792 PORTSMOUTH ST
CHINO CA 91710
SAN BERNARDINO county
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Issuance Date

February 26, 2008

Expiration Date

March 31, 2015

Current Date / Time

November 5, 2025
9:14:4 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 #473

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6844 Primary Status: Current

Address :
13111 PEYTON DR
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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