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Licensing details for: 7978

Name: SAGOUSPE-KUNZ, SASHA ELLA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1025 Pinewood Ct
MADERA CA 93637-2764
MADERA county
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Issuance Date

January 15, 2014

Expiration Date

July 31, 2021

Current Date / Time

April 4, 2026
1:36:50 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 #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY

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