VERNON H HUMBERT JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

NOT RENEWED

N

VERNON H

HUMBERT JR

MD

VERNON H HUMBERT JR MD

09/17/1996

09/17/1996

07/31/1999

CARMI

IL

62821

WHITE

II III IV V

N

10/09/2006