JUDITH M PICKETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048347

License Status

EXPIRED

Business

First Name

JUDITH

Middle

Last Name

PICKETT

Suffix

Business Name

JUDITH M PICKETT MD

Original Issue Date

05/02/2006

Effective Date

05/02/2006

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009