| Licensee Name: | SMILES BY STACI, DENTAL HYGIENE PRACTICE OF STACI BILLY |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 57 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | October 31, 2015 |
| Issue Date: | August 26, 2011 |
| County: | ORANGE |
| Actions: | No |