LANCE TIMOTHY PAYTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

LANCE

Middle

TIMOTHY

Last Name

PAYTON

Business Name

LANCE TIMOTHY PAYTON MD

Original Issue Date

07/15/2008

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

MT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014