LAWRENCE N PAYNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

Title

First Name

LAWRENCE

Middle

Last Name

PAYNE

Business Name

LAWRENCE N PAYNE MD

Original Issue Date

03/01/2012

Effective Date

03/01/2012

Expiration Date

07/31/2014

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014