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SAN JOAQI%W- OUNTY ENVIRONMENTAL HEAL&EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERIVIIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID#PT0025511 for Record ID#PR0541625 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0025512 for Record ID#PR0541626 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JOHNSON, HEIDI <br /> DBA: NATHAN A KLUDT MD INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: NATHAN A KLUDT MD INC (JOHNSON, HEIDI; Facility ID FA0023858 <br /> 1805 N CALIFORNIA ST#407 Account ID AR0044224 <br /> STOCKTON CA 95204 Issued 5/1/2019 <br /> Billing Address: ATTN : AESTHETICIAN <br /> NATHAN A KL.IlDT MD.INC (JOHNSON, HEIDI). . .. <br /> 1805 N CALIFORNIA ST STE 405 <br /> STOCKTON CA 95204 <br /> 7o27.rpt <br />