TYLER ROBERT HUMPHREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152059

License Status

NOT RENEWED

Business

Title

First Name

TYLER

Middle

ROBERT

Last Name

HUMPHREY

Business Name

TYLER ROBERT HUMPHREY MD

Original Issue Date

03/04/2020

Effective Date

03/04/2020

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

01/14/2021