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Licensing details for: 8869

Name: Joe, Derricka Angela Lil

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

43621 Pacific Commons Blvd
FREMONT CA 94538-3809
ALAMEDA county
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Issuance Date

November 29, 2022

Expiration Date

November 30, 2026

Current Date / Time

November 6, 2025
4:32:30 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 #471

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6843 Primary Status: Current

Address :
1600 EXPO PKWY
SACRAMENTO CA 95815
SACRAMENTO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Joe, Derricka Angela Lil

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42552 Primary Status: Current

Address :
43621 Pacific Commons Blvd
FREMONT CA 94538
ALAMEDA COUNTY

Map

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