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Licensing details for: 8290

Name: MALDONADO, LEONARD TIBERIO

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

17862 Mana Rd
APPLE VALLEY CA 92307-2164
SAN BERNARDINO county
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Issuance Date

January 19, 2018

Expiration Date

January 31, 2028

Current Date / Time

April 3, 2026
4:32:37 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 #1010

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7311 Primary Status: Current

Address :
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: MALDONADO, LEONARD TIBERIO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6875 Primary Status: Current

Address :
17862 Mana Rd
APPLE VALLEY CA 92307-2164
SAN BERNARDINO COUNTY

Map

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