TIMOTHY CHARLES PAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058073

License Status

NOT RENEWED

Business

First Name

TIMOTHY CHARLES

Last Name

PAYNE

Suffix

Business Name

TIMOTHY CHARLES PAYNE MD

Original Issue Date

11/20/1978

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023