ERIN SCOTT PAYNE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

SCOTT

Last Name

PAYNE

Business Name

ERIN SCOTT PAYNE

Original Issue Date

10/21/2015

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021