HIA ALAZZAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

HIA

Last Name

ALAZZAM

Business Name

HIA ALAZZAM

Original Issue Date

11/04/2025

Effective Date

11/04/2025

Expiration Date

05/31/2026

City

SETAUKET

State

Zip

11733

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026