Licensee Name: | INGENIOUS DENTAL HYGIENE PRACTICE , MAGGIE VELAZQUEZ, RDHAP |
License Type: | FICTITIOUS NAME PERMIT |
License Number: | 90 |
License Status: | RENEWED/CURRENT Definition |
Expiration Date: | May 31, 2015 |
Issue Date: | March 23, 2012 |
County: | SHASTA |
Actions: | No |