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Licensing details for: 8721

Name: Goossens, Corinne Nicole

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

234 Dutchman Rd
WATSONVILLE CA 95076-1207
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Issuance Date

December 21, 2021

Expiration Date

December 31, 2027

Current Date / Time

November 6, 2025
12:35:57 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 #149

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6916 Primary Status: Current

Address :
220 SYLVANIA AVE
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Goossens, Corinne Nicole

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42543 Primary Status: Current

Address :
234 Dutchman Rd
WATSONVILLE CA 95076-1207

Map

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