License holder summary

LISA MICHELLE HUMPHREY is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LISA MICHELLE HUMPHREY is Dellroy OH 44620. This medical practitioner license is not current. The license was granted 05/24/2004 and expired on 06/30/2009.

Department of State

Board of Medicine

LISA MICHELLE HUMPHREY
Graduate Medical Trainee
License number
MT184597
Date granted
05/24/2004
Date expires
06/30/2009
Class
Graduate Medical Trainee
Status
Expired
Address
Dellroy OH 44620
medicinepa.com
ID 37537777
LAST UPDATED 2024-03-05 11:47:57 UTC

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