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Licensing details for: 2041

Name: VAZQUEZ, SALVADOR

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2200 E Willow St
SIGNAL HILL CA 90755-2132
LOS ANGELES county
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Issuance Date

April 15, 2010

Expiration Date

February 28, 2022

Current Date / Time

November 6, 2025
7:1:14 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 #479

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6455 Primary Status: Current

Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY

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