LISA J SHIVES
Medical Practice at Lyndon Rd, San Diego, CA

License number
Florida 130805
Issued Date
Dec 29, 2016
Effective Date
Dec 29, 2016
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
1853 Lyndon Rd, San Diego, CA 92103
5210 Capitol Dr, Wheeling, IL 60090
Phone
(773) 914-4961
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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