TYLER ROBERT HUMPHREY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070440

License Status

CANCELLED

Business

Title

First Name

TYLER

Middle

ROBERT

Last Name

HUMPHREY

Business Name

TYLER ROBERT HUMPHREY MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/10/2017