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Licensing details for: 1880

Name: BALAM, NICO

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: NICO, BALAM

Address of Record

12706 WALDORF DRIVE
LYNWOOD CA 90262
LOS ANGELES county
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Issuance Date

August 19, 2008

Expiration Date

September 30, 2026

Current Date / Time

November 6, 2025
4:15:30 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 #748

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7096 Primary Status: Current

Address :
5401 KATELLA AVENUE
CYPRESS CA 90720
ORANGE COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: AMERICA'S BEST CONTACTS & EYEGLASSES #3733

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70822 Primary Status: Current

Address :
9140 Whittier Blvd
PICO RIVERA CA 90660-2444
LOS ANGELES COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: AMERICA'S BEST CONTACTS & EYEGLASSES #3701

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70767 Primary Status: Current

Address :
19800 Hawthorne Blvd Ste 200
TORRANCE CA 90503-1520
LOS ANGELES COUNTY

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