VAUGHN WALLACE PAYNE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151282

License Status

INACTIVE

Business

First Name

VAUGHN

Middle

WALLACE

Last Name

PAYNE

Business Name

VAUGHN WALLACE PAYNE

Original Issue Date

11/27/2019

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

LOUISVILLE

State

Zip

40222

Ever Disciplined

LastModifiedDate

07/13/2023