| Licensee Name: | THE TRAVELING TOOTHFAIRY, DENTAL HYGIENE PRACTICE OF DEB OSBORN R |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 61 |
| License Status: | CANCELLED Definition |
| Expiration Date: | May 31, 2013 |
| Issue Date: | September 09, 2011 |
| County: | OUT OF STATE |
| Actions: | No |