COREY HAZEKAMP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

COREY

Last Name

HAZEKAMP

Business Name

COREY HAZEKAMP MD

Original Issue Date

01/10/2025

Effective Date

01/10/2025

Expiration Date

07/31/2026

City

RYE

State

Zip

10580

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025