MARK JOSHUA PAYNE DMD - Dentist License in Illinois | # 019029213

MARK JOSHUA PAYNE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029213

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

MARK

Middle

JOSHUA

Last Name

PAYNE

Business Name

MARK JOSHUA PAYNE DMD

Original Issue Date

08/10/2012

Effective Date

08/25/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018