LEO JOSEPH MALIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

Title

DDS

First Name

LEO

Middle

JOSEPH

Last Name

MALIN

Business Name

LEO JOSEPH MALIN DDS

Original Issue Date

10/20/2016

Effective Date

10/20/2016

Expiration Date

09/30/2018

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018