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Licensing details for: 8081

Name: MARTIN, AMALIA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MARTIN, ALALIA

Address of Record

10919 Sunset Meadow Dr
RIVERSIDE CA 92505-2107
RIVERSIDE county
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Issuance Date

May 26, 2015

Expiration Date

October 31, 2020

Current Date / Time

November 6, 2025
4:12:14 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 #777

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7127 Primary Status: Current

Address :
101 N BEACH BLVD
LA HABRA CA 90631
ORANGE COUNTY

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