SHANAREE MAE MUZINICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

SHANAREE

Middle

MAE

Last Name

MUZINICH

Business Name

SHANAREE MAE MUZINICH MD

Original Issue Date

06/05/2013

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023