STEVEN L PAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000574

License Status

NOT RENEWED

Business

First Name

STEVEN L

Last Name

PAYNE

Business Name

STEVEN L PAYNE

Original Issue Date

01/10/1994

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/27/2022