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Licensing details for: 2004

Name: LOPEZ, JUAN CARLOS

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

17988 Lakeshore Dr
LAKE ELSINORE CA 92530-3132
RIVERSIDE county
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Issuance Date

November 5, 2009

Expiration Date

February 28, 2027

Current Date / Time

November 5, 2025
5:19:47 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

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5891 Primary Status: Current

Address :
26610 YNEZ RD
TEMECULA CA 92591
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: LOPEZ, JUAN CARLOS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5991 Primary Status: Current

Address :
17988 Lakeshore Dr
LAKE ELSINORE CA 92530-3132
RIVERSIDE COUNTY

Map

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