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Licensing details for: 1316

Name: ALUBAIDI, MARYAM ABDULKAREEM JASSIM

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

1555 RIVIERA AVE APT 619
WALNUT CREEK CA 94596
CONTRA COSTA county
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Practice Location

6666 LONE TREE WAY, STE 7
BRENTWOOD CA 94513
CONTRA COSTA county
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Issuance Date

November 1, 2021

Expiration Date

January 31, 2024

Current Date / Time

December 13, 2025
11:42:43 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: ALUBAIDI, MARYAM ABDULKAREEM JASSIM

License/Registration Type: Dentist License

License Number: 106248 Primary Status: Current - Active

Address :
21001 San Ramon Valley Blvd
Ste C6
SAN RAMON CA 94583-3469
CONTRA COSTA COUNTY

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