DAVID EDWARD HUMPHREY MD - Medical Doctor License in Minnesota | # 036046713

DAVID EDWARD HUMPHREY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046713

License Status

NOT RENEWED

Business

N

First Name

DAVID EDWARD

Last Name

HUMPHREY

Suffix

MD

Business Name

DAVID EDWARD HUMPHREY MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

07/01/1982

State

MN

Ever Disciplined

N

LastModifiedDate

09/20/2006