G BENNETT HUMPHREY MD - Medical Doctor License in Oklahoma | # 036037629

G BENNETT HUMPHREY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037629

License Status

INACTIVE

Business

N

First Name

G BENNETT

Last Name

HUMPHREY

Suffix

MD

Business Name

G BENNETT HUMPHREY MD

Original Issue Date

01/04/1962

Effective Date

01/04/1962

Expiration Date

07/31/1987

State

OK

Ever Disciplined

N

LastModifiedDate

09/20/2006