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Licensing details for: 9296

Name: Puentes, Brian

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

5735 Chestnut Ave
LONG BEACH CA 90805-4005
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Issuance Date

August 1, 2025

Expiration Date

August 31, 2027

Current Date / Time

November 6, 2025
12:45:6 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: 5993 Primary Status: Current

Address :
11000 GARDEN GROVE BLVD
GARDEN GROVE CA 92641
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: Puentes, Brian

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43821 Primary Status: Current

Address :
5735 Chestnut Ave
LONG BEACH CA 90805-4005

Map

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