JEROLD COLLINS WILDE DDS - Dentist License in Nebraska | # 019024614

JEROLD COLLINS WILDE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024614

License Status

NOT RENEWED

Business

N

First Name

JEROLD COLLINS

Last Name

WILDE

Suffix

DDS

Business Name

JEROLD COLLINS WILDE DDS

Original Issue Date

11/19/1997

Effective Date

11/19/1997

Expiration Date

09/30/1998

State

NE

Ever Disciplined

N

LastModifiedDate

10/12/2005