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Licensing details for: 2281

Name: BRANDAU, GINA RACHELLE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

6139 CHERRELYN WAY
CARMICHAEL CA 95608
SACRAMENTO county
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Issuance Date

April 19, 2013

Expiration Date

June 30, 2018

Current Date / Time

November 6, 2025
7:37:21 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 #765

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6899 Primary Status: Current

Address :
1800 CAVITT CT
FOLSOM CA 95630
SACRAMENTO COUNTY

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