TYLER J WYLDE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

TYLER

Middle

Last Name

WYLDE

Business Name

TYLER J WYLDE DMD

Original Issue Date

10/19/2021

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024