ALEXANDER P MATHAI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114098

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

Last Name

MATHAI

Business Name

ALEXANDER P MATHAI

Original Issue Date

07/01/2005

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46835

Ever Disciplined

LastModifiedDate

07/12/2023