| Licensee Name: | DENTAL HYGIENE PRACTICE OF MICHELLE MONTGOMERY, RDHAP |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 77 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | March 31, 2016 |
| Issue Date: | November 18, 2011 |
| County: | LOS ANGELES |
| Actions: | No |