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Licensing details for: 1960

Name: NASTASI, BROOKE ESPERANZA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: RUCKER, BROOKE ESPERANZA

Address of Record

24979 constitution
1512
STEVESON RANCH CA 91381
LOS ANGELES county
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Issuance Date

June 12, 2009

Expiration Date

August 31, 2026

Current Date / Time

November 5, 2025
6:1:7 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 CORPORATION #48

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5731 Primary Status: Current

Address :
6100 SEPULVEDA BLVD
VAN NUYS CA 91411
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: COSTCO WHOLESALE #462

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6853 Primary Status: Current

Address :
951 PALOMAR AIRPORT RD
CARLSBAD CA 92009-1110
SAN DIEGO COUNTY

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