CLINTON D HUMPHREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120048

License Status

NOT RENEWED

Business

First Name

CLINTON

Middle

Last Name

HUMPHREY

Suffix

Business Name

CLINTON D HUMPHREY MD

Original Issue Date

01/30/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011