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Licensing details for: 2295

Name: KIRKWOOD, KATIE LEIGH

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
LOS ANGELES county
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Issuance Date

May 28, 2013

Expiration Date

October 31, 2020

Current Date / Time

November 6, 2025
3:39:22 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 #479

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6455 Primary Status: Current

Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #1110

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7623 Primary Status: Current

Address :
7562 CENTER AVE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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