ODIE PAYNE III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

ODIE

Last Name

PAYNE III

Suffix

Business Name

ODIE PAYNE III MD

Original Issue Date

08/11/1982

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021