License holder summary

DIBLASI, STEPHEN LEE, DO is a Medical - Physician licensed to practice in Georgia. The address on file for DIBLASI, STEPHEN LEE, DO is 4315 MACCORKLE AVENUE, CHARLESTON 25304. This doctor license is current. The license was granted 07/11/2003 and expired on 03/31/2017.

Georgia

Composite Medical Board

DIBLASI, STEPHEN LEE, DO
Medical - Physician
License number
053388
Date granted
07/11/2003
Date expires
03/31/2017
Class
Medical - Physician
Status
Active
Address
4315 MACCORKLE AVENUE
georgiadoctors.net
ID 38038780
LAST UPDATED 2024-03-03 07:25:24 UTC

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