SHELLEY L EVERLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092025

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

EVERLY

Business Name

SHELLEY L EVERLY

Original Issue Date

10/07/1995

Effective Date

10/07/1995

Expiration Date

07/31/2002

City

TUBA CITY

State

Zip

86045

Ever Disciplined

LastModifiedDate

09/28/2007

Case Number

2007005137

Action

Refuse To Renew

Discipline Start Date

09/28/2007

Discipline Reason

after being disciplined in the state of Arizona.