| Licensee Name: | SONOMARIN SMILE CREWW DENTAL HYGIENE PRACTICE JENNIFER COLOMBO, R |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 40 |
| License Status: | DELINQUENT Definition |
| Expiration Date: | July 31, 2012 |
| Issue Date: | May 18, 2011 |
| County: | SONOMA |
| Actions: | No |