DAVID EDWARD HUMPHREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046713

License Status

NOT RENEWED

Business

First Name

DAVID EDWARD

Last Name

HUMPHREY

Suffix

Business Name

DAVID EDWARD HUMPHREY MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

07/01/1982

City

THIEF RIVER FALLS

State

Zip

56701

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006