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Licensing details for: 9292

Name: Perez, Nerildy Alexis

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN county
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Issuance Date

July 22, 2025

Expiration Date

July 31, 2027

Current Date / Time

November 5, 2025
5:16:34 PM

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 #658

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6869 Primary Status: Current

Address :
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Perez, Nerildy Alexis

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43528 Primary Status: Current

Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY

Map

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