License holder summary

Gvantsa Didebulidze is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Gvantsa Didebulidze is Brockton Neighborhood Health Center, 63 Main Street 02301. This licensed professional license is current. The license was granted 02/19/2014 and expired on 02/25/2017.

Massachusetts

Division of Professional Licensure

Gvantsa Didebulidze
Board Of Registration In Medicine
License number
257775
Date granted
02/19/2014
Date expires
02/25/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Brockton Neighborhood Health Center, 63 Main Street
licensingma.org
ID 41423025
LAST UPDATED 2024-05-17 07:49:51 UTC

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