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Licensing details for: 9083

Name: Toma, Matthew Zackery

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO county
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Issuance Date

April 15, 2024

Expiration Date

April 30, 2028

Current Date / Time

April 4, 2026
4:41:28 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 #741

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7128 Primary Status: Current

Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Toma, Matthew Zackery

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43395 Primary Status: Current

Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY

Map

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