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Licensing details for: 8980

Name: Barrios, Jasmine Nicole

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

14555 Valley Center Dr
VICTORVILLE CA 92395-4216
SAN BERNARDINO county
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Issuance Date

July 21, 2023

Expiration Date

July 31, 2027

Current Date / Time

November 7, 2025
4:29:32 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 #1010

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7311 Primary Status: Current

Address :
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Barrios, Jasmine Nicole

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42848 Primary Status: Current

Address :
17711 Cajon St
HESPERIA CA 92345-6230
SAN BERNARDINO COUNTY

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