ALEXANDRA LEE MATHERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149401

License Status

ACTIVE

Business

Title

First Name

ALEXANDRA

Middle

LEE

Last Name

MATHERN

Business Name

ALEXANDRA LEE MATHERN MD

Original Issue Date

05/21/2019

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/04/2023