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Licensing details for: 9325

Name: PASTA, NERISSA ILACAD

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

4174 Glenwood terr
unit 2
UNION CITY CA 94587
ALAMEDA county
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Issuance Date

October 27, 2025

Expiration Date

October 31, 2027

Current Date / Time

April 3, 2026
9:38:20 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 #147

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70686 Primary Status: Current

Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: PASTA, NERISSA ILACAD

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43736 Primary Status: Current

Address :
4174 Glenwood Ter Unit 2
UNION CITY CA 94587-3939
ALAMEDA COUNTY

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