BRIAN SCOTT PAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136481

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

SCOTT

Last Name

PAYNE

Business Name

BRIAN SCOTT PAYNE MD

Original Issue Date

09/15/2014

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017