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Licensing details for: 9117

Name: Rubio, Nathan

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

221 Marmalade Ln
HEMET CA 92544-4540
RIVERSIDE county
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Issuance Date

July 1, 2024

Expiration Date

July 31, 2026

Current Date / Time

November 6, 2025
4:9:47 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 CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7322 Primary Status: Current

Address :
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Rubio, Nathan

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43154 Primary Status: Current

Address :
221 Marmalade Ln
HEMET CA 92544-4540

Map

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