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Licensing details for: 8424

Name: zolty, ashlen thaddeus michael

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO county
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Issuance Date

January 18, 2019

Expiration Date

January 31, 2027

Current Date / Time

November 6, 2025
5:2:49 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 #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: zolty, ashlen thaddeus michael

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41341 Primary Status: Current

Address :
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO COUNTY

Map

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