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Licensing details for: 9099

Name: DE LA ROSA, ALBERTO

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1880 Pine St Apt 903
SAN FRANCISCO CA 94109-4469
SAN FRANCISCO county
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Issuance Date

May 20, 2024

Expiration Date

May 31, 2026

Current Date / Time

November 6, 2025
8:9:27 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 #422

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6884 Primary Status: Current

Address :
451 S AIRPORT 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: DE LA ROSA, ALBERTO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43429 Primary Status: Current

Address :
1880 Pine St
Apt 903
SAN FRANCISCO CA 94109-4451

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