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Licensing details for: 8298

Name: Favela, Alexa Anne

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA county
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Issuance Date

March 2, 2018

Expiration Date

March 31, 2026

Current Date / Time

November 6, 2025
8:9:12 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 #1004

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7307 Primary Status: Current

Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6100 Primary Status: Current

Address :
1601 Coleman Ave
SANTA CLARA CA 95050-3122
SANTA CLARA COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Favela, Alexa Anne

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41103 Primary Status: Current

Address :
1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA COUNTY

Map

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