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Licensing details for: 8506

Name: Carpentero, Samantha Michell

License Type: Registered Contact Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
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Issuance Date

July 12, 2019

Expiration Date

July 31, 2025

Current Date / Time

November 6, 2025
10:34:42 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 CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 4126 Primary Status: Current

Address :
1099 E HOSPITALITY DR
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY

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