JENNIFER RANEE DEWILDE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010352

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RANEE

Last Name

DEWILDE

Suffix

Business Name

JENNIFER RANEE DEWILDE DC

Original Issue Date

01/19/2005

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

FULTS

State

Zip

62244

County

MONROE

Ever Disciplined

LastModifiedDate

11/30/2023