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Licensing details for: 2207

Name: VIVIAN-MARIN, JASMIN

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

6912 Coldwater Canyon Ave
Apt 108
NORTH HOLLYWOOD CA 91605-5172
LOS ANGELES county
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Issuance Date

May 9, 2012

Expiration Date

June 30, 2027

Current Date / Time

November 6, 2025
10:47:27 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 #1071

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7518 Primary Status: Current

Address :
13350 Paxton St
PACOIMA CA 91331-2339
LOS ANGELES COUNTY

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