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Licensing details for: 1907

Name: WONG, GINA MY

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: VONG, NHUC M

Address of Record

11356 Stonecress Ave
FOUNTAIN VALLEY CA 92708-2450
ORANGE county
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Issuance Date

January 7, 2009

Expiration Date

September 30, 2018

Current Date / Time

November 6, 2025
12:34:44 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 #690

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6849 Primary Status: Current

Address :
27220 HEATHER RIDGE RD
LAGUNA NIGUEL CA 92677
ORANGE COUNTY

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