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Licensing details for: 8030

Name: ACOSTA, ANGELINA C

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1220 Chesbro Way
GILROY CA 95020-3814
SANTA CLARA county
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Issuance Date

September 15, 2014

Expiration Date

November 30, 2019

Current Date / Time

November 6, 2025
4:30:54 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 #1042

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6820 Primary Status: Current

Address :
2300 MIDDLEFIELD RD
REDWOOD CITY CA 94063
SAN MATEO COUNTY

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