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Licensing details for: 1942

Name: TANTOCO, LORENZO G

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: TANTOCO, LAWRENCE G.

Address of Record

410 S SIERRA MADRE BLVD # 20
PASADENA CA 91107
LOS ANGELES county
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Issuance Date

April 6, 2009

Expiration Date

November 30, 2016

Current Date / Time

November 6, 2025
7:45:8 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 #677

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6760 Primary Status: Current

Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY

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