HEATHER R PICKETT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111670

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

PICKETT

Suffix

Business Name

HEATHER R PICKETT DO

Original Issue Date

06/23/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/13/2014