Licensee Name: | PURE DENTAL HYGIENE PRACTICE OF MELANIE WATERS, RDHAP |
License Type: | FICTITIOUS NAME PERMIT |
License Number: | 111 |
License Status: | RENEWED/CURRENT Definition |
Expiration Date: | September 30, 2015 |
Issue Date: | October 23, 2012 |
County: | SAN LUIS OBISPO |
Actions: | No |