License holder summary

MILES H HUMPHREY is a Board Of Medicine licensed to practice in Idaho. The address on file for MILES H HUMPHREY is 3713 Vista Grande Ln TWIN FALLS ID 83301. This licensed professional license is not current. The license was granted 07/12/1971 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

MILES H HUMPHREY
Board Of Medicine
License number
M-3006
Date granted
07/12/1971
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3713 Vista Grande Ln TWIN FALLS ID 83301
idaholicensing.com
ID 48349410
LAST UPDATED 2024-03-09 15:09:25 UTC

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