CHARMAINE HAIKAELI MZIRAY-ANDREW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

CHARMAINE

Middle

HAIKAELI

Last Name

MZIRAY-ANDREW

Business Name

CHARMAINE HAIKAELI MZIRAY-ANDREW MD

Original Issue Date

03/30/2010

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023