RAYMOND EARL SHIVELY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051180

License Status

INACTIVE

Business

First Name

RAYMOND EARL

Last Name

SHIVELY

Suffix

Business Name

RAYMOND EARL SHIVELY MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/1987

City

DES PERES

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006