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Licensing details for: 562

Name: OBENA, ELENITA M

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE county
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Issuance Date

February 10, 1987

Expiration Date

October 31, 2014

Current Date / Time

November 6, 2025
12:40:17 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 #686

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6755 Primary Status: Current

Address :
9404 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: OBENA, ELENITA M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 535 Primary Status: Cancelled

Address :
6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE COUNTY

Map

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