TIMOTHY JOSEPH SHIVELEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

JOSEPH

Last Name

SHIVELEY

Business Name

TIMOTHY JOSEPH SHIVELEY DO

Original Issue Date

08/29/2011

Effective Date

08/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014