| Licensee Name: | TO YOU: TRAVELING DENTAL HYGIENE PRACTICE, OF |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 109 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | September 30, 2015 |
| Issue Date: | September 17, 2012 |
| County: | AMADOR |
| Actions: | No |