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Licensing details for: 2213

Name: SIMARD, PATTIJO NICOLE

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

4541 Bancroft St
SAN DIEGO CA 92116-4487
SAN DIEGO county
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Issuance Date

May 22, 2012

Expiration Date

March 31, 2026

Current Date / Time

November 5, 2025
8:55:4 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 #488

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3839 Primary Status: Current

Address :
2345 FENTON PARKWAY
SAN DIEGO CA 92108
SAN DIEGO COUNTY

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