License holder summary

CHARLES LEE PAYNE is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES LEE PAYNE is 970 W BROADWAY #378 JACKSON WY 83001. This licensed professional license is not current. The license was granted 11/14/2002 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

CHARLES LEE PAYNE
Board Of Medicine
License number
M-8684
Date granted
11/14/2002
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
970 W BROADWAY #378 JACKSON WY 83001
idaholicensing.com
ID 48340054
LAST UPDATED 2024-04-04 15:55:35 UTC

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