License Directory

Robert A Shively Md

Inactive

Illinois license 036050155

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050155
Status
Inactive
First issued
October 10, 1974
Expired
July 31, 2011
License holder
Robert A Shively Md
Entity type
Individual

Classifications

More from the license record

Current term began
06/25/2008

Contact

Saint Louis, MO 63122
Missouri County