CRAIG LEO HUMPHRIES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017