G BENNETT HUMPHREY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037629

License Status

INACTIVE

Business

First Name

G BENNETT

Last Name

HUMPHREY

Suffix

Business Name

G BENNETT HUMPHREY MD

Original Issue Date

01/04/1962

Effective Date

01/04/1962

Expiration Date

07/31/1987

City

OKLAHOMA

State

Zip

73190

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006