ALYSSA NICOLE HUMPHREY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141714

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

NICOLE

Last Name

HUMPHREY

Business Name

ALYSSA NICOLE HUMPHREY MD

Original Issue Date

09/16/2016

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

MARIETTA

State

Zip

30068

Ever Disciplined

LastModifiedDate

07/22/2023