ALEXANDRA LEE GONZALEZ AGUILAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

LEE GONZALEZ

Last Name

AGUILAR

Business Name

ALEXANDRA LEE GONZALEZ AGUILAR MD

Original Issue Date

08/14/2009

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014