License holder summary

WYANT JOSEPH SHIVELY is a Physician licensed to practice in Indiana. The address on file for WYANT JOSEPH SHIVELY is WORTHINGTON OH 43085. This licensed professional license is not current. The license was granted 02/28/1962 and expired on 06/30/1986.

Indiana

Professional Licensing Agency

WYANT JOSEPH SHIVELY
Physician
License number
01019636A
Date granted
02/28/1962
Date expires
06/30/1986
Class
Physician
Status
Expired Non-Renewable
Address
WORTHINGTON OH 43085
indianalicensing.org
ID 6112592
LAST UPDATED 2024-02-13 19:21:28 UTC

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