JOHN THOMAS PICKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039411

License Status

NOT RENEWED

Business

First Name

JOHN THOMAS

Last Name

PICKEN

Suffix

Business Name

JOHN THOMAS PICKEN MD

Original Issue Date

11/25/1964

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021