License holder summary

NATHANIEL R. PAYNE is a Board Of Medicine licensed to practice in Idaho. The address on file for NATHANIEL R. PAYNE is UCLA Sch/Med Dpt Ped-Neon. Los Angeles CA 90024. This licensed professional license is not current. The license was granted 01/16/1977.

Idaho

Division of Occupational and Professional Licenses

NATHANIEL R. PAYNE
Board Of Medicine
License number
M-3578
Date granted
01/16/1977
Class
Board Of Medicine
Status
Canceled
Address
UCLA Sch/Med Dpt Ped-Neon. Los Angeles CA 90024
idaholicensing.com
ID 48340062
LAST UPDATED 2026-05-09 11:11:13 UTC

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