SHAKUNTALA HANUMANT MAUZO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145741

License Status

ACTIVE

Business

Title

First Name

SHAKUNTALA

Middle

HANUMANT

Last Name

MAUZO

Business Name

SHAKUNTALA HANUMANT MAUZO MD

Original Issue Date

04/16/2018

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2023