JAMES L SHIVELY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045906

License Status

NOT RENEWED

Business

First Name

JAMES L

Last Name

SHIVELY

Suffix

Business Name

JAMES L SHIVELY MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006