STEVEN L PAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

STEVEN L

Last Name

PAYNE

Business Name

STEVEN L PAYNE

Original Issue Date

08/09/2005

Effective Date

08/09/2005

Expiration Date

03/01/2008

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/03/2018