ZACHARY R HUMPHRESS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

ZACHARY

Middle

Last Name

HUMPHRESS

Business Name

ZACHARY R HUMPHRESS

Original Issue Date

03/08/2022

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026