THERESA KINNEY PAYANT MCKENNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

THERESA

Middle

KINNEY

Last Name

PAYANT MCKENNA

Business Name

THERESA KINNEY PAYANT MCKENNA MD

Original Issue Date

06/26/2019

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53713

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023