STEPHEN M DELISI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

DELISI

Suffix

Business Name

STEPHEN M DELISI MD

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

07/31/2008

City

CENTER CITY

State

Zip

55012

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008