License holder summary

SUSAN MARIE SHIVELY is a Medical Board - 33.Lmt S Group licensed to practice in Ohio. The address on file for SUSAN MARIE SHIVELY is 405 Public Square SW, Troy, OH 45373. This licensed professional license is not current. The license was granted 07/14/2000 and expired on 01/01/2014.

Ohio

Board of Licensing

SUSAN MARIE SHIVELY
Medical Board - 33.Lmt S Group
License number
33.009772-S
Date granted
07/14/2000
Date expires
01/01/2014
Class
Medical Board - 33.Lmt S Group
Status
Failed to Renew
Address
405 Public Square SW, Troy, OH 45373
ohiolicensing.org
ID 28507057
LAST UPDATED 2024-02-12 12:31:46 UTC

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