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Licensing details for: 1954

Name: HATFIELD, NICHOLAS ADAM

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

9337 Creekside Ln
MODESTO CA 95357-1707
STANISLAUS county
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Issuance Date

May 12, 2009

Expiration Date

January 31, 2025

Current Date / Time

November 6, 2025
8:9:29 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 #782

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6995 Primary Status: Current

Address :
2955 N TEGNER RD
TURLOCK CA 95380
STANISLAUS COUNTY

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