DACIA AURELIA PICKERING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055377

License Status

CANCELLED

Business

Title

First Name

DACIA

Middle

AURELIA

Last Name

PICKERING

Business Name

DACIA AURELIA PICKERING MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2013

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/09/2011