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Licensing details for: 8336

Name: ESCOBAR, RAISA MINERVA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2000 Market Place Dr
MONTEREY PARK CA 91755-7402
LOS ANGELES county
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Issuance Date

June 1, 2018

Expiration Date

June 30, 2026

Current Date / Time

November 6, 2025
7:3:11 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 #479

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6455 Primary Status: Current

Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: ESCOBAR, RAISA MINERVA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41487 Primary Status: Current

Address :
460 N Chester Ave
PASADENA CA 91106-1115

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