| 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 |