STEPHEN R HUMPHERYS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

HUMPHERYS

Suffix

Business Name

STEPHEN R HUMPHERYS MD

Original Issue Date

01/06/1999

Effective Date

01/06/1999

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020