Dental Board of California
Licensing details for: 59596
Name: WILD, MICHELLE UY
License Type: Dentist
Primary Status: Expired
Secondary Status: Licensure by Residency
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: WILD, MICHELLE UY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2662 Primary Status: Cancelled
Address :
PSC 2 Box 10787
APO AE 09012-0108
