License holder summary

PAUL FRAZIER HUMPHREY is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for PAUL FRAZIER HUMPHREY is 2499 MARGARET AVENUE, TERRE HAUTE IN 47802. This licensed professional license is not current. The license was granted 10/21/1974 and expired on 01/31/1984.

Indiana

Professional Licensing Agency

PAUL FRAZIER HUMPHREY
Controlled Substance Registration - Dentist
License number
12007195B
Date granted
10/21/1974
Date expires
01/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2499 MARGARET AVENUE, TERRE HAUTE IN 47802
indianalicensing.org
ID 5125231
LAST UPDATED 2024-04-21 09:15:04 UTC

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