PAMELA LOUISE PIGGOTT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

LOUISE

Last Name

PIGGOTT

Business Name

PAMELA LOUISE PIGGOTT

Original Issue Date

07/19/2002

Effective Date

07/19/2002

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006