MICHAEL STEPHEN PAYNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040268

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

STEPHEN

Last Name

PAYNE

Suffix

Business Name

MICHAEL STEPHEN PAYNE MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2002

City

BROKEN ARROW

State

Zip

74012

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006