SAMUEL K PAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085745

License Status

NOT RENEWED

Business

First Name

SAMUEL K

Last Name

PAYNE

Suffix

Business Name

SAMUEL K PAYNE MD

Original Issue Date

12/21/1992

Effective Date

12/21/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2017