SHELLEY L EVERLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029184

License Status

EXPIRED

Business

First Name

SHELLEY

Middle

Last Name

EVERLY

Business Name

SHELLEY L EVERLY

Original Issue Date

12/16/1992

Effective Date

12/16/1992

Expiration Date

12/31/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006