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Licensing details for: 8477

Name: BODAN - MARTINEZ, XIOMARA MARGARITA

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES county
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Issuance Date

March 29, 2019

Expiration Date

March 31, 2027

Current Date / Time

November 6, 2025
10:6:30 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 # 671

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3998 Primary Status: Current

Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
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: BODAN - MARTINEZ, XIOMARA MARGARITA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41495 Primary Status: Current

Address :
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES COUNTY

Map

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