WILLIAM KENNETH PAYNE III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

WILLIAM KENNETH

Last Name

PAYNE III

Suffix

Business Name

WILLIAM KENNETH PAYNE III MD

Original Issue Date

08/19/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023