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Licensing details for: 2155

Name: MARTHA, JIRIES S

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

895 E H St
Optical Dept.
CHULA VISTA CA 91910-7807
SAN DIEGO county
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Issuance Date

December 5, 2011

Expiration Date

November 30, 2027

Current Date / Time

November 5, 2025
11:41:42 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 #460

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6841 Primary Status: Current

Address :
895 E H St
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY

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