JON O HUMPHREY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116062

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

HUMPHREY

Business Name

JON O HUMPHREY

Original Issue Date

06/01/2006

Effective Date

03/30/2021

Expiration Date

07/31/2023

City

FRANKLIN

State

Zip

37069

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/30/2023