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Licensing details for: 8054

Name: HEYDEL, JILL M

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

15500 Bubbling Wells Rd
Space 282
DESERT HOT SPRINGS CA 92240-7043
RIVERSIDE county
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Issuance Date

February 24, 2015

Expiration Date

November 30, 2022

Current Date / Time

November 7, 2025
4:32:2 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 #638

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7224 Primary Status: Current

Address :
79-795 HIGHWAY 111
LA QUINTA CA 92253
RIVERSIDE COUNTY

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