JOHN THOMAS PICKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JOHN THOMAS

Last Name

PICKEN

Suffix

Business Name

JOHN THOMAS PICKEN MD

Original Issue Date

10/24/2005

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021