JAY ANTHONY PICKETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

JAY

Middle

ANTHONY

Last Name

PICKETT

Suffix

Business Name

JAY ANTHONY PICKETT MD

Original Issue Date

09/24/1990

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023