ERIN HUMPHREY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

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

07/14/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021