DANA RYLEE PAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

NOT RENEWED

Business

First Name

DANA

Middle

RYLEE

Last Name

PAYNE

Business Name

DANA RYLEE PAYNE

Original Issue Date

10/23/2018

Effective Date

02/26/2020

Expiration Date

03/01/2022

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022