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 |