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Licensing details for: 2105

Name: WIEDENMEYER, ISAAC EBERHARD

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2288 Bellamy Ct
FAIRFIELD CA 94533-2619
SOLANO county
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Issuance Date

February 3, 2011

Expiration Date

April 30, 2022

Current Date / Time

November 6, 2025
2:10:46 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 #694

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6872 Primary Status: Current

Address :
1051 HUME WAY
VACAVILLE CA 95687
SOLANO COUNTY

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