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Licensing details for: 2032

Name: MONDLOCH, SANDRA LYNN

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

13005 ASHGATE PLACE
POWAY CA 92064
SAN DIEGO county
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Issuance Date

March 8, 2010

Expiration Date

June 30, 2017

Current Date / Time

November 6, 2025
12:8:43 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 # 775

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6993 Primary Status: Current

Address :
12155 TECH CENTER DR
POWAY CA 92064
SAN DIEGO COUNTY

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