ROBERT A SHIVELY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050155

License Status

INACTIVE

Business

First Name

ROBERT

Middle

Last Name

SHIVELY

Suffix

Business Name

ROBERT A SHIVELY MD

Original Issue Date

10/10/1974

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011