Idaho
Division of Occupational and Professional Licenses
TYLER MITHCELL HUMPHREY
Board Of Medicine
License number
MRM-1532
Date granted
10/16/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
3291 LONA VISTA RD VENTURA CA 93003
idaholicensing.com
ID 48349413
LAST UPDATED 2026-04-23 17:00:28 UTC
LAST UPDATED 2026-04-23 17:00:28 UTC
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