DANA RYLEE PAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006524

License Status

NOT RENEWED

Business

First Name

DANA

Middle

RYLEE

Last Name

PAYNE

Business Name

DANA RYLEE PAYNE

Original Issue Date

02/23/2018

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022