| Licensee Name: | TRAVELING 4 TEETH DENTAL HYGIENE PRACTICE OF JESSICA NELSON, RDHA |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 56 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | October 31, 2015 |
| Issue Date: | August 22, 2011 |
| County: | AMADOR |
| Actions: | No |