WILLIAM THOMAS PAYNE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

THOMAS

Last Name

PAYNE

Business Name

WILLIAM THOMAS PAYNE

Original Issue Date

10/30/2014

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023