Licensee Name: | FAN OF DENTAL HYGIENE, PRACTICE OF ANDREW FAN, RDHAP |
License Type: | FICTITIOUS NAME PERMIT |
License Number: | 99 |
License Status: | DELINQUENT Definition |
Expiration Date: | December 31, 2012 |
Issue Date: | June 27, 2012 |
County: | SANTA CLARA |
Actions: | No |