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Licensing details for: 9189

Name: Sutherland, Ian

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

606 Via Golondrina
SAN CLEMENTE CA 92673-5658
ORANGE county
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Issuance Date

December 9, 2024

Expiration Date

December 31, 2026

Current Date / Time

November 6, 2025
12:41:18 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 #690

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6849 Primary Status: Current

Address :
27220 HEATHER RIDGE RD
LAGUNA NIGUEL CA 92677
ORANGE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Sutherland, Ian

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43628 Primary Status: Current

Address :
606 Via Golondrina
SAN CLEMENTE CA 92673-5658
ORANGE COUNTY

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