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Licensing details for: 7964

Name: VILLASENOR, EVETTE CHRISTINA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1006 W Ralston St
ONTARIO CA 91762-4843
SAN BERNARDINO county
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Issuance Date

November 4, 2013

Expiration Date

June 30, 2021

Current Date / Time

November 5, 2025
2:33:31 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 #678

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6856 Primary Status: Current

Address :
11800 4TH STREET
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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