BRYAN PAYNE STANIFER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134754

License Status

INACTIVE

Business

Title

First Name

BRYAN

Middle

PAYNE

Last Name

STANIFER

Business Name

BRYAN PAYNE STANIFER MD

Original Issue Date

03/06/2014

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017