ROBERT A SHIVELY MD - Medical Doctor License in Missouri | # 036050155

ROBERT A SHIVELY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050155

License Status

INACTIVE

Business

N

First Name

ROBERT

Middle

A

Last Name

SHIVELY

Suffix

MD

Business Name

ROBERT A SHIVELY MD

Original Issue Date

10/10/1974

Effective Date

06/25/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

04/07/2011