CHIAGOZIE I PICKENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065182

License Status

CANCELLED

Business

Title

First Name

CHIAGOZIE

Middle

Last Name

PICKENS

Business Name

CHIAGOZIE I PICKENS MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/11/2014