DYLAN MICHAEL SHIVES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080352

License Status

ACTIVE

Business

Title

First Name

DYLAN

Middle

MICHAEL

Last Name

SHIVES

Business Name

DYLAN MICHAEL SHIVES DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/10/2025