ALEXANDRA LEE MATHERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023