CRAIG LEO HUMPHRIES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139366

License Status

NOT RENEWED

Business

Title

First Name

CRAIG

Middle

LEO

Last Name

HUMPHRIES

Business Name

CRAIG LEO HUMPHRIES MD

Original Issue Date

11/13/2015

Effective Date

11/13/2015

Expiration Date

07/31/2017

City

PLYMOUTH

State

Zip

55447

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017