ALEXANDRIA NICOLE WOLD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDRIA

Middle

NICOLE

Last Name

WOLD

Business Name

ALEXANDRIA NICOLE WOLD DDS

Original Issue Date

05/24/2021

Effective Date

11/03/2021

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025