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Licensing details for: 2144

Name: LOPEZ, GABRIEL

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

16814 WEGMAN DRIVE
LA PUENTE CA 91744
LOS ANGELES county
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Issuance Date

September 12, 2011

Expiration Date

March 31, 2027

Current Date / Time

November 6, 2025
11:27:9 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 #1318

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6840 Primary Status: Current

Address :
2000 Market Place Dr
MONTEREY PARK CA 91755
LOS ANGELES COUNTY

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