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Licensing details for: 8199

Name: VILLARREAL, CYNTHIA DENISE

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

37612 16th St. East
PALMDALE CA 93550
LOS ANGELES county
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Issuance Date

December 15, 2016

Expiration Date

November 30, 2020

Current Date / Time

November 6, 2025
7:49:51 PM

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 #677

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6760 Primary Status: Current

Address :
1051 BURBANK BLVD
BURBANK CA 91506
LOS ANGELES COUNTY

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