| 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 |