| Licensee Name: | SPECIAL DELIVERY DENTALHYGIENE PRACTICE OF VIRGINIA MILLER |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 58 |
| License Status: | DELINQUENT Definition |
| Expiration Date: | May 31, 2014 |
| Issue Date: | August 26, 2011 |
| County: | MONTEREY |
| Actions: | No |