| Licensee Name: | GOLDEN SMILES DENTAL HYGIENE PRACTICE OF DONNA LOMBARDI, RDHAP |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 72 |
| License Status: | DELINQUENT Definition |
| Expiration Date: | September 30, 2012 |
| Issue Date: | October 14, 2011 |
| County: | LOS ANGELES |
| Actions: | No |