The holder whose full name is PAYNE, TED K,come from DAYTON OH,hold the Physician license(NO.01022836A) which status is Expired Non-Renewable.
| Name | PAYNE, TED K |
|---|---|
| License Number | 01022836A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DAYTON |
| State | OH |