STEPHEN M DELISI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102334

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

DELISI

Suffix

Business Name

STEPHEN M DELISI MD

Original Issue Date

04/12/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CENTER CITY

State

Zip

55012

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/06/2008