License holder summary

Clayton Laramie Lively is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Clayton Laramie Lively is Wright State University, c/o Psychiatry Dept, 627 Edwin C Moses Blvd, Day, OH 45417. This licensed professional license is current. The license was granted 10/04/2013 and expired on 06/30/2016.

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

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