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Licensing details for: 8472

Name: Bustos, Maria Teresa Zapata

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4560 Delores Dr
UNION CITY CA 94587-4836
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Issuance Date

March 21, 2019

Expiration Date

March 31, 2021

Current Date / Time

November 6, 2025
8:9:25 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 # 778

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7066 Primary Status: Current

Address :
43621 PACIFIC COMMONS BLVD
FREMONT CA 94538
ALAMEDA COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Bustos, Maria Teresa Zapata

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41527 Primary Status: Cancelled

Address :
4560 Delores Drive
UNION CITY CA 94587

Map

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