KARLA R SHIVELY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030054

License Status

EXPIRED

Business

First Name

KARLA R

Last Name

SHIVELY

Business Name

KARLA R SHIVELY

Original Issue Date

06/02/1993

Effective Date

06/02/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006