HAYA AZZAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017763

License Status

ACTIVE

Business

First Name

HAYA

Last Name

AZZAM

Business Name

HAYA AZZAM

Original Issue Date

11/30/2022

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

09/05/2024