STUART ALLAN PICKENS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000079

License Status

EXPIRED

Business

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

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2006