JAMES ALLEN PAYNE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004427

License Status

INACTIVE

Business

First Name

JAMES

Middle

ALLEN

Last Name

PAYNE

Business Name

JAMES ALLEN PAYNE

Original Issue Date

08/23/2012

Effective Date

08/23/2012

Expiration Date

03/01/2014

City

MARTINSBURG

State

Zip

25405

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

12/19/2013