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Licensing details for: 2259

Name: TAN, CYNTHIA A

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: TAN, CYNTHIA A.

Address of Record

13522 Chadron Ave Apt 106
HAWTHORNE CA 90250-9233
LOS ANGELES county
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Issuance Date

October 30, 2012

Expiration Date

May 31, 2026

Current Date / Time

November 7, 2025
12:50:16 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 #769

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6936 Primary Status: Current

Address :
3560 W CENTURY BLVD
INGLEWOOD CA 90303
LOS ANGELES COUNTY

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