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Licensing details for: 8940

Name: Kwack, David

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

16510 Dundee Ct Unit 87
LA MIRADA CA 90638-6258
LOS ANGELES county
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Issuance Date

May 9, 2023

Expiration Date

May 31, 2027

Current Date / Time

November 6, 2025
1:34:23 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 #679

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6757 Primary Status: Current

Address :
17550 CASTLETON ST
CITY OF INDUSTRY CA 91748
LOS ANGELES COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #410

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6821 Primary Status: Current

Address :
12324 HOXIE AVE
NORWALK CA 90650
LOS ANGELES COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Kwack, David

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42908 Primary Status: Current

Address :
16510 Dundee Ct
Unit 87
LA MIRADA CA 90638-6260
LOS ANGELES COUNTY

Map

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