JOHN ALAN WILDE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017539

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ALAN

Last Name

WILDE

Suffix

DDS

Business Name

JOHN ALAN WILDE DDS

Original Issue Date

03/11/1981

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

WARSAW

State

Zip

62379

County

HANCOCK

Ever Disciplined

LastModifiedDate

02/08/2016