Ohio
Board of Licensing
Clayton Laramie Lively
Medical Board - 57.Md Training Certificate
License number
57.023333
Date granted
10/04/2013
Date expires
06/30/2016
Class
Medical Board - 57.Md Training Certificate
Status
Active (In Renewal)
Address
Wright State University, c/o Psychiatry Dept, 627 Edwin C Moses Blvd, Day, OH 45417
ohiolicensing.org
ID 29544516
LAST UPDATED 2024-03-06 18:24:06 UTC
LAST UPDATED 2024-03-06 18:24:06 UTC