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Licensing details for: 7980

Name: KING, LACEY D

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1065 Fresno St Apt 11
SAN DIEGO CA 92110-1743
SAN DIEGO county
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Issuance Date

January 23, 2014

Expiration Date

November 30, 2017

Current Date / Time

November 6, 2025
1:31:39 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 # 781

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7029 Primary Status: Current

Address :
1130 BROADWAY
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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