LESLIE E MATHERS III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055260

License Status

ACTIVE

Business

First Name

LESLIE E

Last Name

MATHERS III

Suffix

Business Name

LESLIE E MATHERS III MD

Original Issue Date

08/11/1977

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/13/2023