CANDICE MARIE LEACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140961

License Status

NOT RENEWED

Business

Title

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

City

SAINT CROIX FALLS

State

Zip

54024

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017