ROXIE NAOMI OLIVER-PAYNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058457

License Status

CANCELLED

Business

Title

First Name

ROXIE

Middle

NAOMI

Last Name

OLIVER-PAYNE

Business Name

ROXIE NAOMI OLIVER-PAYNE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

01/12/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2014