CAROL MARIE HUMPHRY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099151

License Status

INACTIVE

Business

First Name

CAROL

Middle

MARIE

Last Name

HUMPHRY

Suffix

Business Name

CAROL MARIE HUMPHRY MD

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

07/31/2002

City

JACKSON

State

Zip

95642

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006