STUART ALLAN PICKENS - Dentist License in Illinois | # 136000079

STUART ALLAN PICKENS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000079

License Status

EXPIRED

Business

N

First Name

STUART

Middle

ALLAN

Last Name

PICKENS

Business Name

STUART ALLAN PICKENS

Original Issue Date

08/07/2001

Effective Date

08/07/2001

Expiration Date

08/07/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006