STEPHEN M HUMPHREY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035248

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

Last Name

HUMPHREY

Suffix

Business Name

STEPHEN M HUMPHREY MD

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

06/30/1999

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006