BRYAN PAYNE STANIFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

BRYAN

Middle

PAYNE

Last Name

STANIFER

Business Name

BRYAN PAYNE STANIFER MD

Original Issue Date

03/06/2014

Effective Date

03/06/2014

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017