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Licensing details for: 9064

Name: lao, vang

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

36 santa barbara ave
SAN FRANCISCO CA 94112
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Issuance Date

February 28, 2024

Expiration Date

February 28, 2026

Current Date / Time

November 6, 2025
8:11:6 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

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6456 Primary Status: Current

Address :
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: lao, vang

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43360 Primary Status: Current

Address :
36 santa barbara ave
SAN FRANCISCO CA 94112

Map

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