CLAYTON BYRON EDISEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033015

License Status

INACTIVE

Business

First Name

CLAYTON BYRON

Last Name

EDISEN

Suffix

Business Name

CLAYTON BYRON EDISEN MD

Original Issue Date

09/24/1954

Effective Date

09/24/1954

Expiration Date

07/31/1990

City

NEW ORLEANS

State

Zip

70185

County

LOUISIANA

Ever Disciplined

LastModifiedDate

09/20/2006