The holder whose full name is Banian, Hussam Mohamad,come from Crown Point IN,hold the Provisional Cosmetologist license(NO.BCP1300012) which status is Active.
| Name | Banian, Hussam Mohamad |
|---|---|
| License Number | BCP1300012 |
| License Type | Provisional Cosmetologist |
| License Status | Active |
| City | Crown Point |
| State | IN |