| Licensee Name: | HESARI MARYAM G |
| License Type: | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
| License Number: | 90 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | April 30, 2016 |
| Issue Date: | April 26, 2005 |
| County: | OUT OF STATE |
| Actions: | No |