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Licensing details for: 9031

Name: AGUILERA, KIMBERLY

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

6161 WOODRUFF AVE
APT D
LAKEWOOD CA 90713
LOS ANGELES county
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Issuance Date

December 11, 2023

Expiration Date

December 31, 2027

Current Date / Time

November 6, 2025
3:41:14 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 #1110

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7623 Primary Status: Current

Address :
7562 CENTER AVE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: AGUILERA, KIMBERLY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42648 Primary Status: Current

Address :
6161 Woodruff Ave
APT D
LAKEWOOD CA 90713-1134
LOS ANGELES COUNTY

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