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Licensing details for: 2047

Name: WHITE, CYNTHIA LOUISE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: WHITE, CYNTHIA L

Address of Record

6315 E Boothwyn St
PRESCOTT VALLEY AZ 86314-6727
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Issuance Date

April 29, 2010

Expiration Date

February 29, 2020

Current Date / Time

November 5, 2025
9:16:0 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 #454

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6838 Primary Status: Current

Address :
115 TECHNOLOGY DR
IRVINE CA 92618
ORANGE COUNTY

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