JACQUELINE FRANC WYLD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001214

License Status

NOT RENEWED

Business

First Name

JACQUELINE FRANC

Last Name

WYLD

Business Name

JACQUELINE FRANC WYLD

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

SPEEDWAY

State

Zip

46224

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005