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Licensing details for: 2288

Name: CONTRERAS, RAQUEL

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES county
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Issuance Date

May 6, 2013

Expiration Date

April 30, 2027

Current Date / Time

November 6, 2025
7:51:37 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 #677

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6760 Primary Status: Current

Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY

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