JEROLD COLLINS WILDE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024614

License Status

NOT RENEWED

Business

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

City

LINCOLN

State

Zip

68528

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/12/2005