PETER VINCENT PICKENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059869

License Status

NOT RENEWED

Business

First Name

PETER VINCENT

Last Name

PICKENS

Suffix

Business Name

PETER VINCENT PICKENS MD

Original Issue Date

12/18/1979

Effective Date

12/18/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006