The holder whose full name is Shively, John Adrian,come from TAMPA FL,hold the Physician license(NO.01014990A) which status is Expired Non-Renewable.
| Name | Shively, John Adrian |
|---|---|
| License Number | 01014990A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | TAMPA |
| State | FL |