KATHRYN L EDMISTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067688

License Status

INACTIVE

Business

First Name

KATHRYN L

Last Name

EDMISTON

Suffix

Business Name

KATHRYN L EDMISTON MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1987

City

NEWTON

State

Zip

02158

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006