CLAYTON BYRON EDISEN MD - Medical Doctor License in Louisiana | # 036033015

CLAYTON BYRON EDISEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033015

License Status

INACTIVE

Business

N

First Name

CLAYTON BYRON

Last Name

EDISEN

Suffix

MD

Business Name

CLAYTON BYRON EDISEN MD

Original Issue Date

09/24/1954

Effective Date

09/24/1954

Expiration Date

07/31/1990

State

LA

Ever Disciplined

N

LastModifiedDate

09/20/2006