DANA OLSON PAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005055

License Status

NOT RENEWED

Business

First Name

DANA

Last Name

OLSON PAYNE

Business Name

DANA OLSON PAYNE

Original Issue Date

05/19/2014

Effective Date

05/19/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/29/2024