JA'NEIL GRACE-MARIE HUMPHREY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086774

License Status

ACTIVE

Business

Title

First Name

JA'NEIL

Middle

GRACE-MARIE

Last Name

HUMPHREY

Business Name

JA'NEIL GRACE-MARIE HUMPHREY MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

06/16/2025