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Licensing details for: 9290

Name: Johnson, Genevieve Grace

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

4709 Hayford Way Apt 1
SACRAMENTO CA 95842-3248
SACRAMENTO county
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Issuance Date

July 16, 2025

Expiration Date

July 31, 2027

Current Date / Time

November 6, 2025
8:11:22 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 #771

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6933 Primary Status: Current

Address :
7000 AUBURN BLVD
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Johnson, Genevieve Grace

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43612 Primary Status: Current

Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342

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