MEAGHAN DANIELLE MENDOZA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

MEAGHAN

Middle

DANIELLE

Last Name

MENDOZA

Business Name

MEAGHAN DANIELLE MENDOZA DO

Original Issue Date

04/14/2025

Effective Date

04/14/2025

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2025