ALISON LEAH HUMPHREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136624

License Status

NOT RENEWED

Business

Title

First Name

ALISON

Middle

LEAH

Last Name

HUMPHREY

Business Name

ALISON LEAH HUMPHREY MD

Original Issue Date

10/08/2014

Effective Date

10/08/2014

Expiration Date

07/31/2017

City

BURLESON

State

Zip

76028

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017