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Licensing details for: 9345

Name: Gonzales, Jordan Helena

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

14817 Mercado Ave
LA MIRADA CA 90638-4930
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Issuance Date

February 5, 2026

Expiration Date

February 29, 2028

Current Date / Time

April 3, 2026
5:03:38 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 #777

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7127 Primary Status: Current

Address :
101 N BEACH BLVD
LA HABRA CA 90631
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: Gonzales, Jordan Helena

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43969 Primary Status: Current

Address :
14817 Mercado Ave
LA MIRADA CA 90638-4930

Map

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