ERIN HUMPHREY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129525

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Last Name

HUMPHREY

Business Name

ERIN HUMPHREY DO

Original Issue Date

01/30/2012

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021