CANDICE MARIE LEACH MD - Medical Doctor License in Wisconsin | # 036140961

CANDICE MARIE LEACH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140961

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CANDICE

Middle

MARIE

Last Name

LEACH

Business Name

CANDICE MARIE LEACH MD

Original Issue Date

06/17/2016

Effective Date

06/17/2016

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017