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Licensing details for: 9037

Name: Castro, Ivan Jossue

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

79420 Bowden Dr
BERMUDA DUNES CA 92203-1215
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Issuance Date

January 2, 2024

Expiration Date

January 31, 2026

Current Date / Time

November 6, 2025
4:11:3 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 #441

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6832 Primary Status: Current

Address :
72-800 DINAH SHORE DR
PALM DESERT CA 92211
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Castro, Ivan Jossue

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43141 Primary Status: Current

Address :
72800 Dinah Shore Dr
PALM DESERT CA 92211-0814

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