CYNTHIA A HUMBERT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

CYNTHIA A

Last Name

HUMBERT

Business Name

CYNTHIA A HUMBERT

Original Issue Date

10/04/1983

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016