JESSICA LYNN PICKELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LYNN

Last Name

PICKELL

Business Name

JESSICA LYNN PICKELL

Original Issue Date

06/09/2021

Effective Date

06/09/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025