JEFFREY MICHAEL PAYNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045635

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

PAYNE

Suffix

Business Name

JEFFREY MICHAEL PAYNE MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2004

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006