Jerry Leo Wilde
InactiveIllinois license 019013775
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019013775
- Status
- Inactive
- First issued
- December 8, 1969
- Expired
- September 30, 1990
- License holder
- Jerry Leo Wilde
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 12/08/1969
Contact
Salt Lake City, UT 84121
Utah County