TIMOTHY CHARLES PAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

TIMOTHY CHARLES

Last Name

PAYNE

Suffix

Business Name

TIMOTHY CHARLES PAYNE MD

Original Issue Date

08/22/2005

Effective Date

08/22/2005

Expiration Date

07/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020