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Licensing details for: 9192

Name: Diaz, Rosio

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

137 W AVENIDA DE LOS ARBOLES
APT 197
THOUSAND OAKS CA 91360
VENTURA county
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Issuance Date

December 17, 2024

Expiration Date

December 31, 2026

Current Date / Time

November 7, 2025
6:19:26 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 CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6181 Primary Status: Current

Address :
5700 LINDERO CANYON RD
WESTLAKE VILLAGE CA 91362-4063
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: Diaz, Rosio

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43330 Primary Status: Current

Address :
137 W Avenida de los Arboles
197
THOUSAND OAKS CA 91360
VENTURA COUNTY

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