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Licensing details for: 8925

Name: Tannehill, Blake William

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

9645 Genesee Ave
Apt H2
SAN DIEGO CA 92121-1831
SAN DIEGO county
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Issuance Date

April 19, 2023

Expiration Date

April 30, 2027

Current Date / Time

November 5, 2025
9:14:5 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 #469

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6258 Primary Status: Current

Address :
8125 FLETCHER PKWY
LA MESA CA 91942
SAN DIEGO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Tannehill, Blake William

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42976 Primary Status: Current

Address :
8544 Paseo De Los Castillos
SANTEE CA 92071-4186
SAN DIEGO COUNTY

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