SHELLEY L EVERLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

EVERLY

Business Name

SHELLEY L EVERLY

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

10/09/2006