Raymond Earl Shively Md
InactiveIllinois license 036051180
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036051180
- Status
- Inactive
- First issued
- July 10, 1975
- Expired
- July 31, 1987
- License holder
- Raymond Earl Shively Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 07/10/1975
Contact
Des Peres, MO 63131
Missouri County