| Licensee Name: | MART MARILYNN MAXINE |
| License Type: | REGISTERED DENTAL HYGIENIST |
| License Number: | 9357 |
| License Status: | CANCELLED Definition |
| Expiration Date: | December 31, 1984 |
| Issue Date: | June 22, 1980 |
| License or Registration Class: | SLN |
| County: | CONTRA COSTA |
| Actions: | No |