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Licensing details for: 7966

Name: ERICKSON, JENNIFER LYNNE

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

2276 Argonne Ave
LONG BEACH CA 90815-2528
LOS ANGELES county
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Issuance Date

November 4, 2013

Expiration Date

May 31, 2023

Current Date / Time

November 6, 2025
4:19:20 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 #748

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7096 Primary Status: Current

Address :
5401 KATELLA AVENUE
CYPRESS CA 90720
ORANGE COUNTY

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