JAY ANTHONY PICKETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

JAY

Middle

ANTHONY

Last Name

PICKETT

Suffix

Business Name

JAY ANTHONY PICKETT MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021