GERALD WAYNE MALIS DDS - Dentist License in Illinois | # 019016671

GERALD WAYNE MALIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016671

License Status

NOT RENEWED

Business

N

First Name

GERALD WAYNE

Last Name

MALIS

Suffix

DDS

Business Name

GERALD WAYNE MALIS DDS

Original Issue Date

06/29/1979

Effective Date

08/24/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018