DACIA AURELIA PICKERING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

DACIA

Middle

AURELIA

Last Name

PICKERING

Business Name

DACIA AURELIA PICKERING MD

Original Issue Date

04/10/2013

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/27/2023