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Licensing details for: 2174

Name: MANZO, LAJAZMYNE DIANA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

14019 S Northwood Ave
COMPTON CA 90222-3815
LOS ANGELES county
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Issuance Date

February 3, 2012

Expiration Date

April 30, 2027

Current Date / Time

November 6, 2025
10:3:42 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 # 671

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3998 Primary Status: Current

Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY

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