RONALD A PICKETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074210

License Status

NOT RENEWED

Business

First Name

RONALD A

Last Name

PICKETT

Suffix

Business Name

RONALD A PICKETT MD

Original Issue Date

12/22/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008