GERALD WAYNE MALIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016671

License Status

NOT RENEWED

Business

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

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018