JUDITH A HUMPHREY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002552

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

HUMPHREY

Business Name

JUDITH A HUMPHREY

Original Issue Date

07/10/1975

Effective Date

07/19/2012

Expiration Date

09/30/2015

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016