LESLIE E MATHERS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

LESLIE E

Last Name

MATHERS III

Suffix

Business Name

LESLIE E MATHERS III MD

Original Issue Date

01/01/1997

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

PEORIA HEIGHTS

State

Zip

61616

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023