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Licensing details for: 8931

Name: Nelson, Kristin Ann

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

55 N Mar Vista Ave
27
PASADENA CA 91106-1465
LOS ANGELES county
Map

Issuance Date

April 28, 2023

Expiration Date

April 30, 2027

Current Date / Time

November 6, 2025
4:11:5 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: 7322 Primary Status: Current

Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Nelson, Kristin Ann

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41619 Primary Status: Current

Address :
55 N Mar Vista Ave
27
PASADENA CA 91106-1465
LOS ANGELES COUNTY

Map

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